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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Wallace E Johnson, MD

Internal Medicine Physician in Fairport, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902833619

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Registry record

Entity type Individual (Type 1)
Name Wallace E Johnson
Credential MD
Sex Male
Practice address 800 Ayrault Rd Ste 200, Fairport, NY, 14450
Phone (585) 602-2300
Fax (585) 425-2750
Enumeration date Jun 27, 2006
Last updated in NPPES Jul 3, 2023

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 200706 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
01688146 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1902833619 active?
Yes, as of the latest NPPES snapshot, NPI 1902833619 is active (record last updated 2023-07-03).
How do I verify Wallace Johnson's NPI record?
Cross-check NPI 1902833619 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-03.