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

Dr. Jun Michael Mitsumoto, MD, MPH

Individual provider Family Medicine Physician · NPI 1255612826

Dr. Jun Michael Mitsumoto, MD, MPH is a Family Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

726 Broadway Fl 3
New York, NY 10003-9580
Phone: (212) 443-1000
Fax: (212) 446-1646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 268078 (NY)

Record details

NPI number1255612826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

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