Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL YOUNGSOO JO
NPI 1184185035
Internal Medicine - Gastroenterology in New Brunswick, NJ

Q: What is Samuel Jo's NPI number?

The NPI number for Samuel Jo is 1184185035. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Samuel Jo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Jo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 235-8887 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Aug 22, 2022, Jul 7, 2021 (3 updates tracked since 2021).

On this page

About Samuel Youngsoo Jo NPPES

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

SAMUEL YOUNGSOO JO (NPI 1184185035) is an individual gastroenterology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA11449500) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184185035

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSAMUEL YOUNGSOO JO

Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928

Mailing Address125 Paterson StNew Brunswick, NJ 08901-1962 · (732) 235-8887

Phone(732) 235-8887

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1184185035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA11449500

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11449500 (NJ)

1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Youngsoo Jo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961883327

PECOS Enrollment IDI20220715001242

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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.

LOKESH LAHOTI

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 823-3000

BILLIE S FYFE KIRSCHNER MD

Pathology (Anatomic Pathology)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8651

LISANNE HAUCK

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

DANIEL NOTTERMAN

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

SHAUL COHEN MD

Anesthesiology

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8841

AMANDA BORHAM M.D.

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7794

DEVON AMANDA ORZANO APN

Nurse Practitioner (Acute Care)

1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

GAMAL MOHAMED MD

Emergency Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

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 Samuel Jo's NPI number?

The NPI number for Samuel Jo is 1184185035. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Samuel Jo located?

Samuel Jo practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 235-8887.

What is Samuel Jo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Samuel Jo enrolled in Medicare?

Yes. Samuel Jo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Jo affiliated with any hospitals?

According to CMS data, Samuel Jo is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Jo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.