Organization Active NPI

Paul Ko PT

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
National Provider Identifier
1215019492
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
023722 Issued in NY
Legal business name
PAUL KO PT
Practice address
14340 38TH Ave
# 204
Flushing, NY 11354-5759
Phone
(718) 445-4370
Fax
(718) 445-4378
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Hyun Ko Kyong, MD
Title
Doctor
Phone
(718) 445-3370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 023722 NY Primary

Addresses

Primary practice location

14340 38TH Ave
# 204
Flushing, NY 11354-5759

Mailing address

14340 38TH Ave
# 204
Flushing, NY 11354-5759
Phone (718) 445-4370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1215019492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 38TH AVE",
            "address_2": "# 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545759",
            "telephone_number": "718-445-4370",
            "fax_number": "718-445-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 38TH AVE",
            "address_2": "# 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545759",
            "telephone_number": "718-445-4370",
            "fax_number": "718-445-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KO PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "KYONG",
        "authorized_official_first_name": "HYUN KO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-445-3370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "023722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.