Active NPI
Jiun Ho, DO
- Plastic and Reconstructive Surgery Physician
- Bristol, CT
National Provider Identifier
1043508443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 53557
- Practice address
- 291 Queen St
Bristol, CT 06010-6379 - Phone
- (860) 583-1845
- Fax
- (860) 584-1358
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 2243 | ME | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 266044-1 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 53557 | CT | Primary |
Addresses
Primary practice location
291 Queen St
Bristol, CT 06010-6379
Mailing address
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1279
Other names 1
- Dr. John Jiun Ho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2243 | ME | MD | Surgery of the Hand (Plastic Surgery) Physician |
| 266044-1 | NY | MD | Surgery of the Hand (Plastic Surgery) Physician |
| 53557 | CT | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology PC | Current | Accepting new patients | |
| Howard D. Solomon, DO, PC | Past | Accepting new patients | |
| Anthony Buglino DO PLLC | Past | Accepting new patients |
Locations
175 I U Willets Rd
Ste 2
Albertson, NY 11507
Phone (516) 326-4160
10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jho67986@northwell.direct-ci.com
- jho@advderm.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Plastic Surgery Physician
- Woodbury, NY
- NPI 1730582834
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1043508443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-666-1279",
"fax_number": "914-666-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 QUEEN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106379",
"telephone_number": "860-583-1845",
"fax_number": "860-584-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "JIUN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "ME",
"license": "2243",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "NY",
"license": "266044-1",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CT",
"license": "53557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "HO",
"middle_name": "JIUN",
"prefix": "DR.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.