Organization Active NPI

Pang Lay Kooi , P.C.

  • Exclusive Provider Organization
  • Auburn, NY
National Provider Identifier
1710083217
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
125447-1 Issued in NY
Legal business name
PANG LAY KOOI , P.C.
Practice address
195 Genesee St
Auburn, NY 13021-3302
Phone
(315) 252-8800
Fax
(315) 258-3938
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Pang L Kooi
Title
Officer
Phone
(315) 252-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 125447-1 NY Primary

Addresses

Primary practice location

195 Genesee St
Auburn, NY 13021-3302

Mailing address

195 Genesee St
Auburn, NY 13021-3302
Phone (315) 252-8800

Other identifiers 1

IdentifierTypeStateIssuer
00457043MedicaidNY

National Provider Directory

National Provider Directory

Locations

195 Genesee St
Auburn, NY 13021
Phone (315) 252-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8463/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1710083217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213302",
            "telephone_number": "315-252-8800",
            "fax_number": "315-258-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213302",
            "telephone_number": "315-252-8800",
            "fax_number": "315-258-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANG LAY KOOI , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "KOOI",
        "authorized_official_first_name": "PANG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "315-252-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "125447-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00457043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.