Individual ProviderAsyah JohnsonRegistered NurseNursing Service ProvidersPractice Address15 Southgate Rd, Middletown, NY 10940-2024(407) 929-0944PECOS EnrollmentBased on the most recent information from CMS, provider Asyah Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1316808017Provider TypeIndividualFull NameJohnson, AsyahSole ProprietorYesEnumeration Date11/21/2025Last Updated11/21/2025Contact InformationPractice LocationPractice Address15 Southgate Rd, Middletown, NY 10940-2024Phone(407) 929-0944FaxUnlisted FaxMailing LocationMailing Address15 Southgate Rd, Middletown, NY 10940-2024PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense981811New York