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

Justin Johannesen, MD

Individual provider Internal Medicine Physician · NPI 1700227949

Justin Johannesen, MD is a Cardiovascular Disease (Cardiology) in New York, New York. Graduated from Drexel University College of Medicine in 2013, 13 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group, works from 2 locations and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
13
Trained at
Drexel University College of Medicine
Licensed in
NY, PA
In the registry since
2013
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

177 Fort Washington Ave
New York, NY 10032-3733
Phone: (212) 305-9875
Fax: (212) 305-9049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 N 15th St, Philadelphia, PA 19102-1101 — (215) 762-7698

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 310559 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD457605 (PA)

Record details

NPI number1700227949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 16, 2013
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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