Bas Groot Koerkamp, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

P84472 Issued in NY

Practice address

1275 York Ave
Department of Surgery
New York, NY 10065-6007

Phone

(212) 639-2000

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1548517378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 YORK AVE",
            "address_2": "APARTMENT 7N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656306",
            "telephone_number": "917-797-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOT KOERKAMP",
        "first_name": "BAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "P84472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bess Gronell, MPT
• Tara Gronert, LMHC
• Mitchell Gronowitz, MD
• Kathryn Elizabeth Grooms, LCSW
• Leonard Charles Groopman, M.D.
• Vincent Paul Groot, MD, PHD
• Sydney Danielle Gropack, PA-C
• Richard B. Grose, PH.D.
• Richard Marc Grose, MD
• Kyra Grosman, PSY.D.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.