Koa & Keoni Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230673 Issued in NY

Legal business name

KOA & KEONI MEDICAL PLLC

Practice address

139 Centre St
Ste 724
New York, NY 10013-4552

Phone

(212) 334-2200

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Vivian Li-Hirashiki, MDNPI 1760574891

Title

President

Phone

(212) 334-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian Y Li-Hirashiki, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1760574891
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1013188317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "STE 724",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-334-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "STE 724",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-334-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA & KEONI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "LI-HIRASHIKI",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-334-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Mei Ko, NP
• Stephanie Ko, NURSE PRACTITIONER
• Steve Ko
• Yeji Ko
• Yeong Ji Ko
• Victoria Grace Koa, MD
• Carmen Koag
• Sarah Beverly Koatz, LMSW
• Bonnie Kobak, CSW
• Miyuki Kobayashi

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.