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

Superio Tan Jao, MD

Individual provider Family Medicine Physician · NPI 1407969819

Superio Tan Jao, MD is a Family Medicine Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

278A E Main St
Smithtown, NY 11787
Phone: (631) 366-4550
Fax: (631) 366-4556
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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 173312 (NY)

Record details

NPI number1407969819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

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