MEDICARE: NEW ENGLAND ALLERGY,ASTHMA,IMMUNOLOGY,PEDIATRIC AND PRIMARY CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
3	208000000X	Pediatrics Physician
4	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1649991043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND ALLERGY,ASTHMA,IMMUNOLOGY,PEDIATRIC AND PRIMARY CARE, PLLC

Provider Business Mailing Address
First Line	:	555 TURNPIKE ST STE 31
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5935
Country	:	US
Telephone Number	:	978-683-4299
Fax Number	:	978-688-9603

Provider Business Practice Location Address
First Line	:	555 TURNPIKE ST STE 31
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5935
Country	:	US
Telephone Number	:	978-683-4299
Fax Number	:	978-688-9603

Authorized Official
Title or Position	:	OWNDER/PHYSICIAN
Name	:	DR. TIFFANY K. JOHNSON
Credential	:	M.D.
Telephone Number	:	978-683-4299

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	02/13/2023

Similar Medicare Providers

1093264343 — MRS. RENATA RODDY FNP-BC
Practice Location Address:

555 TURNPIKE ST STE 31
NORTH ANDOVER, MA
01845-5935

Practice Phone: 978-683-4299
Practice Fax:

1295276954 — MATTHEW FRYKENBERG
Practice Location Address:

555 TURNPIKE ST STE 41A
NORTH ANDOVER, MA
01845-5935

Practice Phone: 789-926-3421
Practice Fax:

1770084782 — TINA VIRGINIA XENAKIS-VETH CNP
Practice Location Address:

555 TURNPIKE ST STE 41
NORTH ANDOVER, MA
01845-5935

Practice Phone: 978-681-4700
Practice Fax:

1639817257 — DAVID ABOU-EZZI
Practice Location Address:

555 TURNPIKE ST STE 55
NORTH ANDOVER, MA
01845-5935

Practice Phone: 978-685-5562
Practice Fax:

1427813245 — NHOMS, PLLC
Practice Location Address:

555 TURNPIKE ST STE 41A
NORTH ANDOVER, MA
01845-5935

Practice Phone: 978-226-7122
Practice Fax:

1467884270 — DONESHA MCKNIGHT
Practice Location Address:

5935 NUEVO LEON ST , UNIT 1
NORTH LAS VEGAS, NV
89031-4109

Practice Phone: 702-785-8215
Practice Fax:

Directions to “NEW ENGLAND ALLERGY,ASTHMA,IMMUNOLOGY,PEDIATRIC AND PRIMARY CARE, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.