SUPERIO TAN JAO MD
NPI 1407969819
Family Medicine in Smithtown, NY

Q: What is Superio Jao's NPI number?

The NPI number for Superio Jao is 1407969819. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Superio Jao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Superio Jao was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2006

278A EAST MAIN ST, SMITHTOWN, NY 11787(631) 366-4550(631) 366-4556 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Superio Tan Jao Md NPPES

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

SUPERIO TAN JAO MD (NPI 1407969819) is an individual family medicine provider in Smithtown, New York, licensed in New York (173312) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1407969819

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSUPERIO TAN JAOCredential: MD

Location Address278A EAST MAIN STSmithtown, NY 11787

Mailing Address278a East Main StSmithtown, NY 11787 · (631) 366-4550 · Fax (631) 366-4556

Phone(631) 366-4550

Fax(631) 366-4556

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407969819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 173312

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

278A EAST MAIN ST, Smithtown, NY 11787

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified70F532NY

Medicare UPINE70102

Medicaid01216628NY

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 Superio Jao's NPI number?

The NPI number for Superio Jao is 1407969819. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Superio Jao located?

Superio Jao practices at 278A East Main St, Smithtown, NY 11787. The listed phone number is (631) 366-4550.

What is Superio Jao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Superio Jao was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.