Jonathan W. Juco, M.D., FRCPC

Primary specialty

Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X

License

25MA08239000 Issued in NJ

Practice address

481 Edward H Ross Dr
Elmwood Park, NJ 07407-3118

Phone

(201) 791-3600

Fax

(201) 794-0418

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871798595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 OAK ST",
            "address_2": "APT. C",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 EDWARD H ROSS DR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073118",
            "telephone_number": "201-791-3600",
            "fax_number": "201-794-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUCO",
        "first_name": "JONATHAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D., FRCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA08239000",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA08239000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA08239000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Paul Powell DDS LLC
• Frances Jelks-Brown, M.A.
• Jewishassociation for Developmental Disabilities
• Joanne Ramirez OD
• Jason Johnson, LCSW
• Stuart Alan Katz, DMD
• J. Patrick Kelly, PHD
• Paul Kezmarsky
• Fuad M Kiblawi, M.D.
• Wanda Kietlinski, RPH

• Hematology (Pathology) Physician in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Hematology (Pathology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.