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

Mr. Keith Patrick Johnson, MD

Individual provider Specialist · NPI 1487616967

Mr. Keith Patrick Johnson, MD is a Specialist in Glen Rock, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
3
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

85 Harristown Rd Ste 103
Glen Rock, NJ 07452
Phone: (844) 366-8800
Fax: (844) 366-8900
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 25MA07819000 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA07819000 (NJ)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 25MA07819000 (NJ)

Record details

NPI number1487616967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESJanuary 19, 2016
Mailing address85 Harristown Road, Suite 103, Glen Rock, NJ 07452

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