Individual provider Active NPI

Pan Sok Ko, M.D.

  • Infectious Disease Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1083851687
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA08411400 Issued in NJ
Practice address
400 Sylvan Ave
Suite 108
Englewood Cliffs, NJ 07632-2729
Phone
(201) 408-5314
Fax
(201) 408-4431
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA08411400 NJ Primary

Addresses

Primary practice location

400 Sylvan Ave
Suite 108
Englewood Cliffs, NJ 07632-2729

Mailing address

400 Sylvan Ave
Suite 108
Englewood Cliffs, NJ 07632-2729
Phone (201) 408-5314

Other identifiers 2

IdentifierTypeStateIssuer
0430480MedicaidNJ
0190756MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000293 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 5799832283 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians
Pan S Ko MD PCGroup PAC ID 5395971709, 3 clinicians

Practice addresses (Care Compare)

1086 Teaneck Rd
Suite 4F1
Teaneck, NJ 07666-4857
Phone (305) 333-6159

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

260 Old Hook Rd
Suite 300
Westwood, NJ 07675-3123
Phone (201) 408-5314

400 Sylvan Ave
Suite 108
Englewood Cliffs, NJ 07632-2717
Phone (201) 408-5314

464 Hudson Ter
Englewood, NJ 07632-2917
Phone (201) 541-6800

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
69.51 of 100Reported as individual
Quality
95.89
Improvement activities
0
Cost
81.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08411400NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pan S Ko, MD, PC Infectious Disease CurrentSince Sep 6, 2013 Accepting new patients
Revive by Carolina, Inc Infectious Disease CurrentSince Oct 27, 2024 Accepting new patients
Northern Valley Id, PC Infectious Disease CurrentSince Jan 1, 2019 Accepting new patients
Hudson MD Group CurrentSince May 1, 2023 Accepting new patients
Associates in Infectious Disease, PC Infectious Disease PastSince Oct 1, 2010 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients
Essex County Infectious Disease Infectious Disease PastSince Nov 30, 2001 Accepting new patients

Locations

400 Sylvan Ave
Ste 108
Englewood Cliffs, NJ 07632
Phone (201) 408-5314

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

1086 Teaneck Rd
Ste 4F1
Teaneck, NJ 07666
Phone (201) 530-5475

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

260 Old Hook Rd
Ste 300
Westwood, NJ 07675
Phone (201) 408-5314

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1083851687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE",
            "address_2": "SUITE 108",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322729",
            "telephone_number": "201-408-5314",
            "fax_number": "201-408-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE",
            "address_2": "SUITE 108",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322729",
            "telephone_number": "201-408-5314",
            "fax_number": "201-408-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "PAN",
        "middle_name": "SOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08411400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430480",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190756",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.