NPIMap

Individual provider Active NPI

Justine Sarah Ko, M.D.

  • Sports Medicine (Emergency Medicine) Physician
  • New York, NY
National Provider Identifier
1225569270
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
315580 Issued in NY
Practice address
525 E 68TH St # 179
New York, NY 10065-4870
Phone
(212) 746-0282
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125.070099 IL
Sports Medicine (Emergency Medicine) Physician 207PS0010X MD049148 DC
Sports Medicine (Emergency Medicine) Physician 207PS0010X 315580 NY Primary

Addresses

Primary practice location

525 E 68TH St # 179
New York, NY 10065-4870

Mailing address

525 E 68TH St # 179
New York, NY 10065-4870
Phone (202) 877-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210706002612 MD Practitioner - Emergency Medicine 0749551034 Reassigns benefits to 2 organizations
I20220831000703 NY Practitioner - Emergency MedicinePractitioner - Sports Medicine 0749551034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Sports Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St
Emergency Physicians Dept
New York, NY 10021-4870
Phone (646) 962-7300

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.070099ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Weill Medical College of Cornell Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 15, 2022 Accepting new patients

Locations

110 Irving St NW
Ste 3124
Washington, DC 20010

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

525 E 68th St
#179
New York, NY 10065
Phone (212) 312-5000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Interoperability endpoints

  • Direct secure messaging: gis9056@direct.nyp.org

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1225569270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 179",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "202-877-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 179",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JUSTINE",
        "middle_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.070099",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "DC",
            "license": "MD049148",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NY",
            "license": "315580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.