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

Mrs. Suman P Johnson, PHYSICIANASSITANT

Individual provider Medical Physician Assistant · NPI 1295080778

Mrs. Suman P Johnson, PHYSICIANASSITANT is a Medical Physician Assistant in Mineola, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (516) 470-7000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015591-1 (NY)

Record details

NPI number1295080778
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSITANT
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

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