Individual provider Active NPI

Mee Jeong Ka, NP-C

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1548613250
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307847 Issued in NY
Practice address
180 Fort Washington, HP1
Suite 199
New York, NY 10032
Phone
(212) 305-3535
NPI assigned
Jul 18, 2016
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307847 NY Primary

Addresses

Primary practice location

180 Fort Washington, HP1
Suite 199
New York, NY 10032

Mailing address

180 Fort Washington, HP1
Suite 199
New York, NY 10032
Phone (212) 305-3535

Other names 1

  • MJ Ka Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213001665 NY Practitioner - Nurse Practitioner 9133409980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brain Health Medical PCGroup PAC ID 6709229073, 11 clinicians

Practice addresses (Care Compare)

13201 Roosevelt Ave
Suite 818082
Flushing, NY 11354-5279
Phone (888) 818-2059

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307847NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Hon DO PC CurrentSince Oct 4, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 21, 2021 Accepting new patients
Brain Health Medical PC CurrentSince Dec 31, 2025 Accepting new patients
Trustees of Columbia University Department of Rehabilitation Medicine PastSince Oct 31, 2021 Accepting new patients
Isaac Health, P.a. Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

13201 Roosevelt Ave
Flushing, NY 11354

14105 Northern Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 358-7271

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535

222 Broadway
Unit 2135
New York, NY 10038

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

7 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 226-0118

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mjk9020@direct.nyp.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1548613250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORT WASHINGTON, HP1",
            "address_2": "SUITE 199",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FORT WASHINGTON, HP1",
            "address_2": "SUITE 199",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KA",
        "first_name": "MEE JEONG",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MJ",
            "last_name": "KA",
            "credential": "AGNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.