JUNO MEDICAL PRACTICE NPI 1558992206

NPI Information

NPI: 1558992206
Provider Name: JUNO MEDICAL PRACTICE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 33D2266044

Address:
2119 FREDERICK DOUGLASS BLVD
NEW YORK, NY
ZIP 10026
Phone: (212) 300-2836
Get Directions

JUNO MEDICAL PRACTICE is a multi-specialty clinic center in New York, NY. JUNO MEDICAL PRACTICE NPI is 1558992206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2119 FREDERICK DOUGLASS BLVD
NEW YORK, NY
ZIP 10026-392
Phone: (212) 300-2836

The provider's authorized official is Shante Hinson .
The authorized official title is Owner and has the following contact phone number (609) 320-7998.

The CLIA number assigned to this NPI record is 33D2266044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2020 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RR0500X	Internal Medicine	Rheumatology	No
3	207V00000X	Obstetrics & Gynecology		No
4	208000000X	Pediatrics		No
5	207Q00000X	Family Medicine		No
6	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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