Individual provider Active NPI

Joy Ko, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1790913044
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057988 Issued in NY
Practice address
1020 Park Ave Unit East
New York, NY 10028-0913
Phone
(212) 214-9271
Fax
(212) 214-9283
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 057988 NY Primary

Addresses

Primary practice location

1020 Park Ave Unit East
New York, NY 10028-0913

Mailing address

200 E 94TH St Apt 1511
New York, NY 10128-3912
Phone (212) 718-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057988NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Ko DDS, PLLC General Practice CurrentSince Nov 9, 2025 Accepting new patients
Prasad Gonavarum D.D.S., P.C. General Practice Past Accepting new patients
Upper East Smiles, PC PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1790913044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 94TH ST APT 1511",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283912",
            "telephone_number": "212-718-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE UNIT EAST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-214-9271",
            "fax_number": "212-214-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JOY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.