Kerry Johnson, PA
NPI 1558665414 · Physician Assistant · Port Jefferson, NY
Kerry Johnson, PA is a Physician Assistant provider in Port Jefferson, NY (NPI 1558665414).
Provider details
- NPI number
- 1558665414
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 014438 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-06
- Last updated
- 2019-07-16
Frequently asked questions
- What is Kerry Johnson's NPI number?
- Kerry Johnson's National Provider Identifier (NPI) is 1558665414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Johnson's specialty?
- Kerry Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kerry Johnson located?
- Kerry Johnson's practice location on file with NPPES is 635 Belle Terre Rd, Port Jefferson, NY 11777-1935.
- What is Kerry Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kerry Johnson is (631) 474-0008.
- Is Kerry Johnson's NPI active?
- Yes — Kerry Johnson's NPI (1558665414) is active in the NPPES registry as of the last update on 2019-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.