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

Individual provider Registered Nurse · NPI 1861225658

Jithin Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Flushing, New York. Graduated from Hofstra North Shore - Lij School of Medicine in 2024, 2 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

10201 66th Rd
Flushing, NY 11375-2029
Phone: (718) 830-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 698006 (NY)

Record details

NPI number1861225658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 23, 2024
Mailing address227 Caswell Ave, Staten Island, NY 10314-1952

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flushing