Individual ProviderJulius JohnsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-4303(718) 299-7295(917) 913-6290PECOS EnrollmentBased on the most recent information from CMS, provider Julius Johnson is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104141597Provider TypeIndividualFull NameJohnson, JuliusTitleMr.CredentialFNP-BCGenderMaleSole ProprietorNoEnumeration Date3/29/2010Last Updated3/29/2010Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-4303Phone(718) 299-7295FaxUnlisted FaxMailing LocationMailing Address470 Montgomery St, #2c, Brooklyn, NY 11225-3072Phone(917) 913-6290FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF336074-1New York