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PETER JAESUNG JO
NPI 1003526427
Nurse Practitioner - Family in Flushing, NY

Active since November 28, 2022
5645 MAIN ST, FLUSHING, NY 11355(917) 340-4637 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Nov 28, 2022 (2 updates tracked since 2022).

About Peter Jaesung Jo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER JAESUNG JO (NPI 1003526427) is an individual family provider in Flushing, New York, licensed in New York (350897) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1003526427
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePETER JAESUNG JO
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045
Phone(917) 340-4637
Sole ProprietorYes
Enumeration DateNovember 28, 2022
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1003526427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 350897
5645 MAIN ST, Flushing, NY 11355
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
IRVIN CESPEDES PA
Physician Assistant
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Jo's NPI number?

The NPI number for Peter Jo is 1003526427. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Peter Jo located?

Peter Jo practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (917) 340-4637.

What is Peter Jo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peter Jo was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.