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

Jarred Johnson, MD

Individual provider Hospitalist Physician · NPI 1669761821

Jarred Johnson, MD is a Hospitalist Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1342
Phone: (607) 277-2365
Fax: (607) 277-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 274233 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 274233 (NY)

Record details

NPI number1669761821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESJanuary 9, 2018
Mailing address1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397

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