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

Mr. Peter Jeong, CNP

Individual provider Family Nurse Practitioner · NPI 1619299872

Mr. Peter Jeong, CNP is a Nurse Practitioner in New York, New York. Qualified in 2015, 11 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
11
Licensed in
NY, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4337 Broadway
New York, NY 10033-2411
Phone: (212) 568-6300
Fax: (212) 544-5094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 21 E 22nd St Frnt 1, New York, NY 10010-5332 — (212) 460-7800
  • 215 W 125th St Fl 2, New York, NY 10027-4426 — (212) 491-2400
  • 1050 Clove Road, Staten Island, NY 10301-3627 — (718) 816-6440

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F340501-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.11203 -NP (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence COA.11203-NP (OH)

Record details

NPI number1619299872
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 15, 2010
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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