Individual provider Active NPI

Young Duk Koskey, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1396256103
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342457 Issued in NY
Practice address
75 Broad St RM 815
New York, NY 10004-3233
Phone
(347) 761-3168
Fax
(929) 285-9069
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 F342457 NY Primary

Addresses

Primary practice location

75 Broad St RM 815
New York, NY 10004-3233

Mailing address

75 Broad St RM 815
New York, NY 10004-3233
Phone (347) 761-3168

Other names 1

  • Young Duk Koskey Professional name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F342457NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Medical Docs PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1396256103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BROAD ST RM 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043233",
            "telephone_number": "347-761-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BROAD ST RM 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043233",
            "telephone_number": "347-761-3168",
            "fax_number": "929-285-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKEY",
        "first_name": "YOUNG DUK",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "KOSKEY",
            "middle_name": "DUK",
            "credential": "YOUNG  KOSKEY FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.