Provider Demographics
NPI:1912498353
Name:HO, JOHNSON SHIUAN-JIUN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHNSON
Middle Name:SHIUAN-JIUN
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 US HIGHWAY 22 STE 14
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2943
Mailing Address - Country:US
Mailing Address - Phone:973-376-6595
Mailing Address - Fax:973-741-3900
Practice Address - Street 1:1200 US HIGHWAY 22 STE 14
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2943
Practice Address - Country:US
Practice Address - Phone:973-376-6595
Practice Address - Fax:973-741-3900
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA302322171100000X
NY302322208100000X, 208D00000X
NJ25MA118320002081P2900X, 208D00000X
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171100000XOther Service ProvidersAcupuncturist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program