NPIMap

Organization Active NPI

Dr. Kooch LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hoboken, NJ
National Provider Identifier
1407568405
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
DR. KOOCH LLC
Practice address
70 Hudson St BSMT
Hoboken, NJ 07030-5630
Phone
(484) 357-2469
NPI assigned
Dec 21, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Jason Everett Kooch, DONPI 1902804347
Title
Owner
Phone
(484) 357-2469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

70 Hudson St BSMT
Hoboken, NJ 07030-5630

Mailing address

250 W 27TH St Apt 5B
New York, NY 10001-5924

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL j@drkooch.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1407568405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 27TH ST APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST BSMT",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305630",
            "telephone_number": "484-357-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KOOCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KOOCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-357-2469",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "j@drkooch.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Hudson St Bsmt",
            "city": "Hoboken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070305630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

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