National Provider Identifier
Jara Johnson, DO
Jara Johnson, DO is listed in the NPPES registry with a primary specialty of Developmental - Behavioral Pediatrics Physician in Rochester, NY and a listed phone number of (585) 922-4698.
Profile Overview
- NPI
- 1922124999
- Provider Type
- Individual
- Primary Specialty
- Developmental - Behavioral Pediatrics Physician
- Enumeration Date
- March 22, 2007
- Last Updated
- July 12, 2013
Practice Location
- 1425 Portland Ave
- Suite 204
- Rochester, NY 14621-3001
Phone: (585) 922-4698
Mailing Address
- 41 Rossiter RD
- Rochester, NY 14620-4125
Specialties
- Developmental - Behavioral Pediatrics Physician (2080P0006X)
Full Record
- NPI
- 1922124999
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jara
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 41 Rossiter RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4125
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Suite 204
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4698
- Practice Fax
- (585) 922-5702
- Enumeration Date
- March 22, 2007
- Last Updated
- July 12, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental - Behavioral Pediatrics Physician (2080P0006X)