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

Elizabeth Johnson

Individual provider Physician Assistant · NPI 1477956118

Elizabeth Johnson is a Physician Assistant in Liverpool, New York. Qualified in 2014, 12 years ago. Practices with Housel Dermatology PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

235 Greenfield Pkwy
Liverpool, NY 13088-6651
Phone: (315) 452-3376
Fax: (315) 452-3377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018172 (NY)

Record details

NPI number1477956118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing addressPo Box 2003, East Syracuse, NY 13057-4503

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Housel Dermatology Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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