Active NPI
Shermin Koh, RN
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F407114
- Practice address
- 34 S Broadway Ste 504
White Plains, NY 10601-4429 - Phone
- (914) 454-2505
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F407114 | NY | Primary |
Addresses
Primary practice location
34 S Broadway Ste 504
White Plains, NY 10601-4429
Mailing address
475 S Jefferson St Apt 102
Orange, NJ 07050-1273
Phone (323) 565-5504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Columbia University College of Physicians and Surgeons, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 S Broadway
Suite 504
White Plains, NY 10601-4429
Phone (332) 334-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F407114 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Leap Medical Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
32 Court St
Ste 1703
Brooklyn, NY 11201
Phone (718) 704-3032
169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076
295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511
34 S Broadway
Ste 504
White Plains, NY 10601
Phone (914) 289-2590
Organizations & group practices 1
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.
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- NPI 1821841503
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1003681958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 S JEFFERSON ST APT 102",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070501273",
"telephone_number": "323-565-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 S BROADWAY STE 504",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014429",
"telephone_number": "914-454-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "SHERMIN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F407114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.