Individual provider Active NPI

Shermin Koh, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1003681958
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F407114 Issued in NY
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

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227002328 NY Practitioner - Nurse Practitioner 8628559564 Reassigns benefits to 1 organization

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
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians

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

LicenseStateTypeSpecialty
F407114NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group PA Psychiatric/Mental Health CurrentSince Jan 20, 2026 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.

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

Verify at the official NPI Registry.