Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juno Medical Practice

Organization Family Medicine Physician · NPI 1558992206

Juno Medical Practice is a Family Medicine Physician in New York, New York. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
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Practice location Address checks out

2119 Frederick Douglass Blvd
New York, NY 10026-2392
Phone: (212) 300-2836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 W 115th St, New York, NY 10026-2965 — (609) 320-7998

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1558992206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shante Hinson — Owner · (609) 320-7998
NPI enumeratedJanuary 31, 2020
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address1485 5th Ave Apt 18c, New York, NY 10035-2778

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