Individual provider Active NPI

Jiun Ho, DO

  • Plastic and Reconstructive Surgery Physician
  • Bristol, CT
National Provider Identifier
1043508443
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
53557 Issued in CT
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

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331001382 NY Practitioner - Plastic and Reconstructive Surgery 3375713159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2243MEMDSurgery of the Hand (Plastic Surgery) Physician
266044-1NYMDSurgery of the Hand (Plastic Surgery) Physician
53557CTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC CurrentSince Jun 1, 2023 Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC PastSince Jun 1, 2023 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

  • Direct secure messaging: jho67986@northwell.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.