Active NPI
Bo Jeon, MA, MT-BC
- Music Therapist
- Brooklyn, NY
National Provider Identifier
1275490443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 15090
- Practice address
- 250 Utica Ave
Brooklyn, NY 11213-3931 - Phone
- (718) 925-2009
- Fax
- (866) 495-5854
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 15090 | PA | Primary |
Addresses
Primary practice location
250 Utica Ave
Brooklyn, NY 11213-3931
Mailing address
250 Utica Ave
Brooklyn, NY 11213-3931
Phone (718) 925-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15090 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1275490443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 UTICA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133931",
"telephone_number": "718-925-2009",
"fax_number": "866-495-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 UTICA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133931",
"telephone_number": "718-925-2009",
"fax_number": "866-495-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "BO",
"credential": "MA, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "15090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.