Grant N Ko MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06989400 Issued in NJ

Legal business name

GRANT N KO MD

Practice address

343 E Ridgewood Ave # 1F
Ridgewood, NJ 07450-3301

Phone

(201) 927-7599

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Grant N Ko, MD

Title

Owner

Phone

(201) 927-7599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1528210648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E RIDGEWOOD AVE # 1F",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503301",
            "telephone_number": "201-927-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E RIDGEWOOD AVE # 1F",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503301",
            "telephone_number": "201-927-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT N KO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-927-7599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06989400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Gordon, LCSW
• Hamilton C Goulart, M.D.
• Alisa Stephanie Goulbourne-Scott, PA-C
• Janine N. Goulet, APN
• Patrick Bryan Granelli, LCSW
• Juan B Grau, M.D.
• Julie M Grayson
• Great Moments
• Greatest Moments Counseling, Inc
• Biljana Grebinnik

• Psychiatry Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.