Organization Active NPI

Richard Joo MD Internal Medicine PC

  • Primary Care Clinic/Center
  • Leonia, NJ
National Provider Identifier
1164316899
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD JOO MD INTERNAL MEDICINE PC
Practice address
388 Broad Ave
Leonia, NJ 07605-1715
Phone
(201) 292-1565
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Dr. Richard Joo, MDNPI 1851351282
Title
President
Phone
(201) 292-1565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

388 Broad Ave
Leonia, NJ 07605-1715

Mailing address

388 Broad Ave
Leonia, NJ 07605-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926002656 NJ Part B Supplier - Clinic/Group Practice 5193220341 Receives reassigned benefits from 1 practitioner
Practice locations: Leonia, NJ

National Provider Directory

National Provider Directory

Locations

386 Broad Ave
NJ 07605

388 Broad Ave
Leonia, NJ 07605
Phone (201) 292-1565

386 Broad Ave
Leonia, NJ 07605
Phone (201) 292-1567

386 Broad Ave
Leonia, NJ 07605
Phone (201) 292-1567

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1164316899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BROAD AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BROAD AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051715",
            "telephone_number": "201-292-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD JOO MD INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "JOO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-292-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.