Kevin Koob

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00310500 Issued in NJ

Practice address

1245 Whitehorse Mercerville Rd
Suite 422
Mercerville, NJ 08619-3831

Phone

(609) 581-4700

Fax

(609) 581-1506

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417005190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 422",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-4700",
            "fax_number": "609-581-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 422",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-4700",
            "fax_number": "609-581-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOB",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell J. Kater, M.D.
• Kaveri Kaushal
• Ian David Kaye, M.D.
• Kevin F. Law, M.D., P.C.
• Kristen Helen Knorr
• Martin Leo Kowalski, DDS
• Kulin N. Oza, MD, PC
• Kevin L. Kunkle, MD
• Brian Edward Lavery, D.M.D.
• Lawrence Assisting

• Physical Therapist in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.