Doctor profile · Federal record
Dr. Colleen Johnson, PA-C
Physician Assistant · Physician Assistant · Port Jefferson Station, NY
- NPI 1215235429
- 15 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11 Medical Dr
Port Jefferson Station, NY 117761589
(631) 509-6066 - Mailing address
-
120 Lebrun Ave
Amityville, NY 117014249
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- September 27, 2018
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- New York #020304-1 · New York #020304
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215235429. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$285
Transactions
10
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 2 | $140.18 | |
| Novo Nordisk INC | 7 | $131.72 | |
| Nevro Corp. | 1 | $13.36 |
By nature of payment
Frequently asked questions
What is Dr. Colleen Johnson's medical specialty?
Dr. Colleen Johnson practices Physician Assistant in Port Jefferson Station, NY.
Where does Dr. Colleen Johnson practice?
Dr. Colleen Johnson practices at 11 Medical Dr, Port Jefferson Station, NY 117761589. Office phone: 6315096066.
What is Dr. Colleen Johnson's NPI?
Dr. Colleen Johnson's National Provider Identifier (NPI) is 1215235429, issued by NPPES.