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

Miss. Carli Marie Johnston, PA-C

Individual provider Medical Physician Assistant · NPI 1437632247

Miss. Carli Marie Johnston, PA-C is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group, works from 2 locations and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

489 5th Ave Fl 3
New York, NY 10017-6145
Phone: (212) 441-4400
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E 65th St, New York, NY 10065-6701 — (814) 558-6914

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022694 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 022694 (NY)

Record details

NPI number1437632247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2018
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 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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