NPIMap

Organization Active NPI

Wilson Ko, M.D., F.a.C.S., P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Flushing, NY
National Provider Identifier
1437365665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
WILSON KO, M.D., F.A.C.S., P.C.
Practice address
13625 Maple Ave
Suite 202
Flushing, NY 11355-3870
Phone
(718) 358-5900
Fax
(718) 463-8049
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wilson Ko, M.D.NPI 1770560096
Title
Owner
Phone
(718) 961-3937

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
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

13625 Maple Ave
Suite 202
Flushing, NY 11355-3870

Mailing address

13625 Maple Ave
Suite 202
Flushing, NY 11355-3870
Phone (718) 358-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000075 NY Part B Supplier - Clinic/Group Practice 1456442789 Receives reassigned benefits from 17 practitioners
Practice locations: Brooklyn, NY; New York, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

5515 8th Ave
Ste 3ABH
Brooklyn, NY 11220
Phone (718) 358-5900

5521 8th Ave
Ste 3A
Brooklyn, NY 11220
Phone (718) 972-3937

Interoperability endpoints

  • Direct secure messaging: abounama@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: cliang@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: cmeng@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: glee@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: gto@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: jli@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: ppan@advancedeyecare.intellechartdirect.net
  • Direct secure messaging: swong@advancedeyecare.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437365665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-358-5900",
            "fax_number": "718-463-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-358-5900",
            "fax_number": "718-463-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON KO, M.D., F.A.C.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-961-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.