1. Home
  2. Directory
  3. New York
  4. Brentwood
  5. Nurse Practitioner
  6. NPI Profile

EUNJOO JEON
NPI 1518508274
Nurse Practitioner - Primary Care in Brentwood, NY

Active since October 03, 2019
1235 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 436-7770 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eunjoo Jeon NPPES

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

EUNJOO JEON (NPI 1518508274) is an individual primary care provider in Brentwood, New York, licensed in New York (343467) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1518508274
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEUNJOO JEON
Location Address1235 SUFFOLK AVEBrentwood, NY 11717-4511
Mailing Address517 6th StE Northport, NY 11731-2319
Phone(631) 436-7770
Sole ProprietorNo
Enumeration DateOctober 3, 2019
✔ NPI 1518508274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 343467
1235 SUFFOLK AVE, Brentwood, NY 11717
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

MR. MICHAEL FRANCIS SOMMER RPAC
Physician Assistant (Medical)
1235 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-7770
IN HO HAN M.D.
Internal Medicine
1235 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-7770
SUFFOLK FIRST MEDICAL, P.C.
Internal Medicine
1235 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 436-7770

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 Eunjoo Jeon's NPI number?

The NPI number for Eunjoo Jeon is 1518508274. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Eunjoo Jeon located?

Eunjoo Jeon practices at 1235 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 436-7770.

What is Eunjoo Jeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Eunjoo Jeon was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.