Eunae Ko, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

308083 Issued in NY

Practice address

365A W 28TH St
New York, NY 10001-4703

Phone

(212) 741-3030

Fax

(212) 741-3040

NPI assigned

Jan 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVP Medical Practice PCGroup PAC ID 5395970362, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

81.41

Improvement activities

40

Cost

73.11

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: eunae.ko.1@26356.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26356/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MVP Medical Practice PC

  • Infectious Disease Physician
  • Brooklyn, NY
  • NPI 1912541061
  Medicare reassignment Care Compare group NPD
• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  Medicare reassignment NPD
• Rheumatology Associates of North Jersey

  • Rheumatology Physician
  • Teaneck, NJ
  • NPI 1699871442
  Medicare reassignment NPD
• Ajs Brooklyn Medical Practice PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1558707299
  NPD
• Trinitas Physicians Practice, LLC

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1205189941
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003272865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365A W 28TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014703",
            "telephone_number": "212-741-3030",
            "fax_number": "212-741-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Rheumatology Associates of North Jersey",
            "address_2": "1415 Queen Anne Road Teaneck",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "07666",
            "country_code": "US",
            "telephone_number": "201-837-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "EUNAE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00610300",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "308083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ko Physical Therapy PLLC
• Ashley Ko
• Clarissa Ko, PA-C
• Cynthia Ko, M.D.
• Da Hyun Ko
• Fred Ko, MD
• Huai-Bin Mabel Ko, M.D.
• Hyunjoo Ko
• Jane Park Ko, M.D.
• Jimin Alexander Ko, MD

• Primary Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.