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

Peter Jaesung Jo

Individual provider Family Nurse Practitioner · NPI 1003526427

Peter Jaesung Jo is a Family Nurse Practitioner in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (917) 340-4637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350897 (NY)

Record details

NPI number1003526427
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2022
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

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