Look up the most recent NPI and PECOS records

Sydney Lee Johnson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

10 Plum St Fl 5, New Brunswick, NJ 08901-2066

PECOS Enrollment

Based on the most recent information from CMS, provider Sydney Lee Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:18 AM.

Profile Details

Provider ID
1346729530
Provider Type
Individual
Full Name
Johnson, Sydney Lee
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2018
Last Updated
5/8/2023

Contact Information

Practice Location

10 Plum St Fl 5, New Brunswick, NJ 08901-2066

(732) 235-6333

Unlisted Fax

Mailing Location

PO Box 829642, Philadelphia, PA 19182-4735

(866) 470-6626

(413) 599-0470

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ00938600 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 14357115	Description Other	Issuer CAQH

Sydney Lee Johnson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Henderson, Suzanne C.

Hernandez, Melissa

Gonzales, Fia M

Donovan, Colleen

Pathak, Vaibhavee

Ejiofor, Michelle

Gaido, James C

Mcfarland, Stephanie

Kortbawi, Patricia Ann

Bosworth, Linda