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

Mr. William Dolph Johnson, PA

Individual provider Physician Assistant · NPI 1376757708

Mr. William Dolph Johnson, PA is a Physician Assistant in Wading River, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5968 Route 25A
Wading River, NY 11792-2001
Phone: (631) 929-0304
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010949 (NY)

Record details

NPI number1376757708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address16 3rd St, Coram, NY 11727-3707

Other providers in Wading River