Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Jun Michael Mitsumoto, MD, MPH

Individual provider Family Medicine Physician · NPI 1255612826

Dr. Jun Michael Mitsumoto, MD, MPH is a Family Medicine Physician in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

21 E 22nd St Frnt 1
New York, NY 10010-5332
Phone: (212) 460-7800
Fax: (212) 460-7877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 726 Broadway Fl 3, New York, NY 10003-9580 — (212) 443-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 268078 (NY)

Record details

NPI number1255612826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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