JP Medical MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JP MEDICAL MD LLC

Practice address

6119 Executive Blvd
Rockville, MD 20852-3901

Phone

(301) 944-2877

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ju-Un Park, MD

Title

President

Phone

(301) 944-2877

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1245756378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-944-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1343 Good Hope Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200206909",
            "country_code": "US",
            "telephone_number": "301-944-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JP MEDICAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JU-UN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-944-2877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kache Joyner
• Ruffin Joyner
• Sylvia Joyner
• Whitney Joyner
• Gregory Joynes
• Gabriela Juarez Hernandez
• Hailey Juarez-Sevilla
• Kayla Juarez
• Rosy Juarez
• Ka'Trin Judkins

• Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.