Active NPI
Miho Jo
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340086
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2000
- NPI assigned
- Apr 15, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F340086 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
150 50TH Ave Apt 1138
Long Island City, NY 11101-6078
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1644 Eastchester Rd
Bronx, NY 10461-2316
Phone (212) 776-9090
400 Columbus Ave
Suite 105S
Valhalla, NY 10595-1368
Phone (203) 883-0038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340086 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civic Medicine, PLLC | Current | Accepting new patients | |
| Nyc Medical Infusion PC | Current | Accepting new patients | |
| Civic Wilton, PLLC | Past | Accepting new patients |
Locations
249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353
1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220
50 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 772-0656
1644 Eastchester Rd
Bronx, NY 10461
Phone (917) 445-9119
1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202
26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502
5663 E Circle Dr
Cicero, NY 13039
Phone (315) 214-0004
546 Towne Dr
Fayetteville, NY 13066
279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700
175 E 96th St
New York, NY 10128
Phone (212) 426-1970
1140 Broadway
New York, NY 10001
Phone (516) 941-6824
5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870
1865 S Clinton Ave
Ste 160
Rochester, NY 14618
999 E Ridge Rd
Ste 13
Rochester, NY 14621
78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505
175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873
400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038
400 Columbus Ave
Valhalla, NY 10595
Phone (203) 883-0038
2 Westchester Park Dr
Ste 101A
White Plains, NY 10604
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Infusion Therapy Clinic/Center
- Valhalla, NY
- NPI 1801404553
-
- Infusion Therapy Clinic/Center
- New York, NY
- NPI 1932619608
-
- Infusion Therapy Clinic/Center
- Wilton, CT
- NPI 1508375064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1518311596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 50TH AVE APT 1138",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111016078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JO",
"first_name": "MIHO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F340086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.