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

Mrs. Vincy Maria Johnson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1366096745

Mrs. Vincy Maria Johnson, AGACNP is a Nurse Practitioner in Bay Shore, New York. Qualified in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
7
Licensed in
NJ, NY
In the registry since
2019
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8458
Phone: (631) 968-3000
Fax: (631) 968-3813
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

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F431550-01 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence F431550-01 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence F431550-01 (NJ)

Record details

NPI number1366096745
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESJuly 24, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bay Shore