Active NPI
Koku Gasinu Physician P.C.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1265788566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 60 164779
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.