Active NPI
Jocelyn Ko, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1225484579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A152121
- Practice address
- 2301 N 29TH St Ste 500
Philadelphia, PA 19132-3454 - Phone
- (215) 444-7510
- Fax
- (267) 388-4659
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A152121 | CA | Primary |
Addresses
Primary practice location
2301 N 29TH St Ste 500
Philadelphia, PA 19132-3454
Mailing address
505 Parnassus Ave
UCSF Internal Medicine Residency, Room 987
San Francisco, CA 94143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152121 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- jko356297@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1225484579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "UCSF INTERNAL MEDICINE RESIDENCY, ROOM 987",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N 29TH ST STE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191323454",
"telephone_number": "215-444-7510",
"fax_number": "267-388-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "JOCELYN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A152121",
"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 Sep 10, 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.