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

Lisa Marguerite Johnson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1205931052

Lisa Marguerite Johnson, MD is an Obstetrics/Gynecology in New York, New York. Graduated from State University of New York Downstate Medical Center in 1995, 31 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
31
Trained at
State University of New York Downstate Medical Center
Licensed in
LA
In the registry since
2006
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

400 E 77th St Ste 1A
New York, NY 10075-2303
Phone: (212) 861-2564
Fax: (212) 861-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 206723 (LA)

Record details

NPI number1205931052
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 23, 2015

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1995 (31 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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