Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elaheh Johnson, PA

Individual provider Physician Assistant · NPI 1124347851

Elaheh Johnson, PA is a Physician Assistant in Mineola, New York. Qualified in 2008, 18 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

173 Mineola Blvd
Mineola, NY 11501-2528
Phone: (212) 263-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4230 Hempstead Tpke Ste 200, Bethpage, NY 11714-5700 — (516) 731-1900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013230 (NY)

Record details

NPI number1124347851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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