Martha T Koochor, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309460 Issued in NY

Practice address

260 Park Hill Ave
5-J
Staten Island, NY 10304-4628

Phone

(212) 729-6897

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1174889380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PARK HILL AVE",
            "address_2": "5-J",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044628",
            "telephone_number": "212-729-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PARK HILL AVE",
            "address_2": "5-J",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044628",
            "telephone_number": "212-729-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOCHOR",
        "first_name": "MARTHA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kong, OTR/L
• Rodrigo I Kong, M.D.
• Estee Konig, PSY D, MS ED
• Kaliopi Konomi
• Maryrose Konuwa, LPN
• Natalie Koop, LMSW
• Anthony Kopatsis, MD
• Zarina Kopb
• Larry J. Kopelman, P.T.
• Lea Koplowitz, LCSW

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.