Elsie Koh, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

25MA07546000 Issued in NJ

Practice address

1225 McBride Ave
Suite 116
Woodland Park, NJ 07424-3812

Phone

(973) 837-1018

Fax

(973) 837-1329

NPI assigned

Feb 17, 2006

Last updated

Oct 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Tufts University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Israel Schur MD PLLCGroup PAC ID 4082960687, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Israel Schur MD PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1962917492
  Medicare reassignment Care Compare group NPD
• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment NPD
• Ny Endovascular Center LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1740879055
  Medicare reassignment NPD
• Cranford Diagnostic Imaging PA

  dba Cranford Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Cranford, NJ
  • NPI 1366436552
  NPD (past)
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)
• Diagnostic Radiology Assoc.,PA

  • Specialist
  • Passaic, NJ
  • NPI 1538139175
  NPD (past)
• Imaging Associates PA

  dba Morris Sussex MRI

  • Diagnostic Radiology Physician
  • Randolph, NJ
  • NPI 1467445940
  NPD (past)
• New Jersey Interventional Associates LLC

  dba Azura Vascular Care Union

  • Ambulatory Surgical Clinic/Center
  • Union, NJ
  • NPI 1255894051
  NPD (past)
• Northfield Imaging Center PA

  dba Northfield Imaging Center

  • Diagnostic Radiology Physician
  • West Orange, NJ
  • NPI 1003800277
  NPD (past)
• Sancor Medical Enterprises, LLC

  • Vascular & Interventional Radiology Physician
  • Passaic, NJ
  • NPI 1164499364
  NPD (past)
• The New Jersey Imaging Network, LLC

  dba DRA of Morristown at Cedar Knolls

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1629327887
  NPD (past)
• Access Care Physicians of Ny, PC

  • Vascular & Interventional Radiology Physician
  • Staten Island, NY
  • NPI 1124047378
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1679548234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY STE 100",
            "address_2": "ATTN: CREDENTIALING DEPT.",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900",
            "fax_number": "610-644-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 116",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "973-837-1018",
            "fax_number": "973-837-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "ELSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07546000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - NJ",
            "identifier": "071850",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9122401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Recovery Center Inc
• Kidsneuro, LLC
• Kinetic Foot and Ankle, LLC
• Kitchen Tango
• Marc Kitrosser, DPM
• Michael Patrick Kolosvary, DPT
• Gary J Kosc, MD
• Hakkyung Lee Kovacs, NPC
• Mark Krasner
• Paul Krisa, MD

• Vascular & Interventional Radiology Physician in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.

Verify at the official NPI Registry.