Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirley Johnson-Hall, MD

Individual provider Specialist · NPI 1265591952

Shirley Johnson-Hall, MD is a Gastroenterology in Port Jefferson Station, New York. Graduated from State University of New York Downstate Medical Center in 1999, 27 years ago. Practices with Digestive Disease Care, PC, a 40-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
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

931 Hallock Ave
Port Jefferson Station, NY 11776
Phone: (631) 331-7200
Fax: (631) 331-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 234410 (NY)

Record details

NPI number1265591952
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESMay 7, 2015

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1999 (27 years in practice)
Group practice Digestive Disease Care, Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Jefferson Station