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

Samantha P Johnson, PA

Individual provider Surgery Physician · NPI 1578814752

Samantha P Johnson, PA is a Physician Assistant in Rochester, New York. Qualified in 2012, 14 years ago. Practices with University of Rochester Surgical Associates, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone: (585) 723-7281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 156 West Ave Fl 3, Brockport, NY 14420-1229 — (585) 276-7874

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 016069 (NY)
Surgery Physician Taxonomy 208600000X · Licence 16069 (NY)

Record details

NPI number1578814752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Rochester Surgical Associates — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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