Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Joseph Michno Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1407351182

Dr. Michael Joseph Michno Jr., MD is a Diagnostic Radiology in Port Jefferson, New York. Graduated from Tufts University School of Medicine in 2018, 8 years ago. Practices with Kettering Network Radiologists Inc, a 75-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Trained at
Tufts University School of Medicine
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35.152557 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407351182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kettering Network Radiologists Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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