Active NPI
Albert Sung Jin Koh, D.O.
- Anesthesiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 260159
- Practice address
- 3450 Wayne Ave
Apt # 19E
Bronx, NY 10467-2510 - Phone
- (917) 923-7612
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 260159 | NY | |
| Anesthesiology Physician | 207L00000X | 260159 | NY | Primary |
Addresses
Primary practice location
3450 Wayne Ave
Apt # 19E
Bronx, NY 10467-2510
Mailing address
3450 Wayne Ave
Apt # 19E
Bronx, NY 10467-2510
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akoh47999@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | akoh47999@direct.urmc.rochester.edu | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 275-2141
1000 S Ave
Rochester, NY 14620-2733
Phone (585) 473-2200
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
601 Elmwood Ave Box
Rochester, NY 14642-0001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260159 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
180 Sawgrass Dr
Ste 210
Rochester, NY 14620
Phone (585) 242-1300
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
dba Jones Memorial Hospital
- Rural Health Clinic/Center
- Hornell, NY
- NPI 1457974644
-
dba Strong Memorial Hospital-University of Rochester
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
dba Strong Memorial Hospital MD Group
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1578852778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE",
"address_2": "APT # 19E",
"city": "BRONX",
"state": "NY",
"postal_code": "104672510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 WAYNE AVE",
"address_2": "APT # 19E",
"city": "BRONX",
"state": "NY",
"postal_code": "104672510",
"telephone_number": "917-923-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "ALBERT",
"middle_name": "SUNG JIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "260159",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "260159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akoh47999@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akoh47999@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.