Organization Active NPI

Koku Gasinu Physician P.C.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1265788566
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60 164779 Issued in NY
Legal business name
KOKU GASINU PHYSICIAN P.C.
Practice address
2115 Starling Ave
Bronx, NY 10462-4311
Phone
(718) 822-2810
Fax
(718) 822-8732
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Koku Gasinu, M.D.
Title
Owner
Phone
(718) 822-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 60 164779 NY Primary

Addresses

Primary practice location

2115 Starling Ave
Bronx, NY 10462-4311

Mailing address

2115 Starling Ave
Bronx, NY 10462-4311
Phone (718) 822-2810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265788566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 STARLING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624311",
            "telephone_number": "718-822-2810",
            "fax_number": "718-822-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STARLING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624311",
            "telephone_number": "718-822-2810",
            "fax_number": "718-822-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKU GASINU PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GASINU",
        "authorized_official_first_name": "KOKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-822-2810",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60 164779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.