Kern Scott Koo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

221288 Issued in NY

Practice address

51-33 Marathon Pkwy
Little Neck, NY 11362

Phone

(718) 357-3458

Fax

(718) 357-3483

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkoo417034@nyumc.direct-ci.com

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.

• Dr. Kern S. Koo, General &Family Medicine, P.C.

  • Primary Care Clinic/Center
  • Little Neck, NY
  • NPI 1457501082
  Medicare reassignment NPD Authorized official
• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Dr. Timothy Robinson, General and Family Medicine, P.C.

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1790995249
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1679797088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-33 MARATHON PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-357-3458",
            "fax_number": "718-357-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-33 MARATHON PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-357-3458",
            "fax_number": "718-357-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "KERN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "221288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoo417034@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4401 Francis Lewis Blvd Ste L3B",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kims Acupuncture Ny PC
• Knickerbocker Dialysis Inc (Little Neck Dialysis)
• Hae Jung Ko, D.D.S.
• Gayle Hope Kolidas, LCSW
• Madison Lee Kolnsberg, ATC
• Anna M. Koskinas
• Peter Koys, D.D.S.
• Venitha Krishnan, NP
• Marisa Landa, M.S., CCC-SLP
• Jean Lavelle, NP

• Family Medicine Physician in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.