Juco, Jonathan W.
Juco, Jonathan W. is an individual health care provider with primary practice located at 481 Edward H Ross Dr , Elmwood Park NJ 07407-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Juco, Jonathan W. can be contacted via phone (201) 791-3600.Contact Information
Primary practice address
481 Edward H Ross Dr
Elmwood Park NJ 07407-3118
Phone: (201) 791-3600
Fax: (201) 794-0418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 25MA08239000 | New Jersey |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MA08239000 | New Jersey |
Profile Details
| NPI number | 1871798595 |
|---|---|
| LBN Legal business name | Juco, Jonathan W. |
| Credentials | M.D., FRCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871798595 | NPPES |
| New Jersey | Other | 25MA08239000 | NJ LICENSE |
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