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

Johnson Exantus, LPN

Individual provider Licensed Practical Nurse · NPI 1073890729

Johnson Exantus, LPN is a Licensed Practical Nurse in Deer Park, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

60 Crown St
Deer Park, NY 11729-6921
Phone: (631) 392-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 301511 (NY)

Record details

NPI number1073890729
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011
Mailing address60 Crown St, Deer Park, NY 11729-6921

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