Individual provider Active NPI

Janet Jinyoung Ko, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1780627968
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD428999 Issued in PA
Practice address
5401 Old York Rd
Klein 410
Philadelphia, PA 19141-3030
Phone
(215) 456-6990
Fax
(215) 456-6967
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD428999 PA Primary

Addresses

Primary practice location

5401 Old York Rd
Klein 410
Philadelphia, PA 19141-3030

Mailing address

609 W Germantown Pike
Ste 220
East Norriton, PA 19403-4261
Phone (484) 622-7940

Other identifiers 2

IdentifierTypeStateIssuer
MD428999OtherPALICENSE
MT180194OtherPAMEDICAL TRAINEE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20060727000182 PA Practitioner - Obstetrics/Gynecology 5890708481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

1330 Powell St
Suite 507
Norristown, PA 19401-3352
Phone (484) 622-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD428999PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2006 Accepting new patients
Einstein Practice Plan, Inc Obstetrics & Gynecology CurrentSince Jul 1, 2006 Accepting new patients
Fornance Physician Services, Inc Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Hospital Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients

Locations

609 W Germantown Pike
Ste 220
Norristown, PA 19403
Phone (484) 622-7940

1330 Powell St
Ste 507
Norristown, PA 19401
Phone (484) 622-7300

5401 Old York Rd
Ste 410
Philadelphia, PA 19141
Phone (215) 456-6990

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: janet.ko1@direct.einstein.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1780627968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE",
            "address_2": "STE 220",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034261",
            "telephone_number": "484-622-7940",
            "fax_number": "484-622-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN 410",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-6990",
            "fax_number": "215-456-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JANET",
        "middle_name": "JINYOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD428999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD428999",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINEE LICENSE",
            "identifier": "MT180194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.