Individual provider Active NPI

Jun J Mao, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1821033580
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD422079 Issued in PA
Practice address
1429 1St Ave
New York, NY 10021-3302
Phone
(646) 888-0866
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD422079 PA Primary

Addresses

Primary practice location

1429 1St Ave
New York, NY 10021-3302

Mailing address

1429 1St Ave
New York, NY 10021-3302
Phone (646) 888-0866

Other identifiers 1

IdentifierTypeStateIssuer
1008339840001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160721001350 NY Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4880780386 Reassigns benefits to 2 organizations
I20250502001546 NJ Practitioner - Family Practice 4880780386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mskcc Integrative Medicine GroupGroup PAC ID 3072694322, 7 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-4700

205 E 64TH St
New York, NY 10065-6635
Phone (646) 449-1010

300 E 66TH St
New York, NY 10065-6800
Phone (646) 888-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.9 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
27.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD422079PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Harrison CurrentSince Mar 2, 2025 Accepting new patients
MSK Monmouth CurrentSince Mar 2, 2025 Accepting new patients
Mskcc Integrative Medicine Group CurrentSince Jun 1, 2016 Accepting new patients
MSK Bergen CurrentSince Mar 2, 2025 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

1429 1st Ave
New York, NY 10021
Phone (212) 639-4700

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jmao38232@mskcc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1821033580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213302",
            "telephone_number": "646-888-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213302",
            "telephone_number": "646-888-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "JUN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD422079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008339840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.