Individual provider Active NPI

Eun Bee Ko

  • Occupational Therapist
  • Clifton, NJ
National Provider Identifier
1467811315
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00559000 Issued in NJ
Practice address
24 River Rd Apt 4
Clifton, NJ 07014-2017
Phone
(646) 761-9622
NPI assigned
Feb 21, 2016
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00559000 NJ Primary

Addresses

Primary practice location

24 River Rd Apt 4
Clifton, NJ 07014-2017

Mailing address

24 River Rd Apt 4
Clifton, NJ 07014-2017
Phone (646) 761-9622

Other practice location 1

23 Donald St
Apt C
Bloomfield, NJ 07003-6181
Phone (646) 761-9622

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

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1467811315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RIVER RD APT 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070142017",
            "telephone_number": "646-761-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 RIVER RD APT 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070142017",
            "telephone_number": "646-761-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Donald St",
            "address_2": "APT C",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070036181",
            "country_code": "US",
            "telephone_number": "646-761-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "EUN BEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00559000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.