Individual provider Active NPI

Joungmin Ko, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1396103669
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341722 Issued in NY
Practice address
51 W 51St St Ste 380
New York, NY 10019-6113
Phone
(212) 326-8941
Fax
(212) 326-8946
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341722 NY Primary

Addresses

Primary practice location

51 W 51St St Ste 380
New York, NY 10019-6113

Mailing address

51 W 51St St Ste 380
New York, NY 10019-6113
Phone (212) 326-8941

Other practice location 1

5141 Broadway
3FW - Room 18
New York, NY 10034
Phone (212) 305-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330002592 NY Practitioner - Nurse Practitioner 3072920404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Pain Consultants LLCGroup PAC ID 0749260107, 19 clinicians

Practice addresses (Care Compare)

500 W Main St
Suite 116
Babylon, NY 11702-3032
Phone (631) 422-6166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341722NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Pain Consultants LLC CurrentSince Jan 1, 2022 Accepting new patients
New York Pain Consultants LLC CurrentSince Jan 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 20, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 20, 2020 Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

500 W Main St
Ste 116
Babylon, NY 11702

100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034

8 Saxon Ave
Ste E
Bay Shore, NY 11706
Phone (631) 206-1034

550 Mamaroneck Ave
Ste 550
Harrison, NY 10528

550 Mamaroneck Ave
Ste 503
Harrison, NY 10528
Phone (914) 346-5200

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

630 W 168th St
#8
New York, NY 10032
Phone (212) 305-5259

5141 Broadway
Rm 18
New York, NY 10034
Phone (212) 305-1550

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1396103669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W 51ST ST STE 380",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196113",
            "telephone_number": "212-326-8941",
            "fax_number": "212-326-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W 51ST ST STE 380",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196113",
            "telephone_number": "212-326-8941",
            "fax_number": "212-326-8946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5141 Broadway",
            "address_2": "3FW - Room 18",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10034",
            "country_code": "US",
            "telephone_number": "212-305-1550",
            "fax_number": "212-932-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "JOUNGMIN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.