Organization Active NPI

Kokroo Medical Associates,PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1083649511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD070944L Issued in PA
Legal business name
KOKROO MEDICAL ASSOCIATES,PC
Practice address
100 E Lehigh Ave
Mab Suite 109
Philadelphia, PA 19125-1012
Phone
(215) 707-9311
Fax
(215) 579-9313
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tej Kokroo, MD
Title
President
Phone
(215) 707-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD070944L PA Primary

Addresses

Primary practice location

100 E Lehigh Ave
Mab Suite 109
Philadelphia, PA 19125-1012

Mailing address

328 Merion PL
Newtown, PA 18940-1642
Phone (215) 579-4480

National Provider Directory

National Provider Directory

Locations

100 E Lehigh Ave
Ste 109
Philadelphia, PA 19125
Phone (215) 707-0570

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083649511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MERION PL",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401642",
            "telephone_number": "215-579-4480",
            "fax_number": "215-579-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "MAB SUITE 109",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-9311",
            "fax_number": "215-579-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKROO MEDICAL ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOKROO",
        "authorized_official_first_name": "TEJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-707-9311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD070944L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.