Individual provider · Type 1 NPI

Peter Jeong, CNP

Family Nurse Practitioner · New York, NY

NPI number 1619299872 Active

Practice location

4337 Broadway
New York, NY 10033-2411

Fax (212) 544-5094

Mailing address

55 Water St Fl 2
New York, NY 10041-0010

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCOA.11203 -NP (OH)
Family Nurse Practitioner Primary 363LF0000XF340501-1 (NY)
Adult Health Nurse Practitioner 363LA2200XCOA.11203-NP (OH)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1619299872

Peter Jeong, CNP's National Provider Identifier is 1619299872, issued on Feb 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Sep 16, 2025.