Jesse Ko, MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

213571 Issued in NY

Legal business name

JESSE KO, MD, PLLC

Practice address

20945 45TH Rd FL 1
Bayside, NY 11361-3233

Phone

(718) 423-7200

Fax

(718) 224-8727

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Ko, M.D.NPI 1770549289

Title

Owner

Phone

(718) 423-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Ko, M.D.

  • Pediatrics Physician
  • Bayside, NY
  • NPI 1770549289
  NPD Authorized official
• Leigh Jacquelyn Trani, M.D.

  • Pediatrics Physician
  • Rutherford, NJ
  • NPI 1003021544
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1518145366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20945 45TH RD FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613233",
            "telephone_number": "718-423-7200",
            "fax_number": "718-224-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20945 45TH RD FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613233",
            "telephone_number": "718-423-7200",
            "fax_number": "718-224-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE KO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-423-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoomi Jang
• Tirzah Jean
• Jenny Liaw, M.D. PLLC
• Jenny Ziavras SLP PC
• Kwangrang Jeong, ACUPUNCTURIST
• Kimberley Rebecca Jettoo
• Layeka Jeune
• Jenny Jiang-Ohara, OTR/L
• Mengying Jiang, PHYSICAL THERAPIST
• Jiheon Hong Physical Therapy P.C.

• Pediatrics Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.