Koam Medical Service P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

184700 Issued in NY

Legal business name

KOAM MEDICAL SERVICE P.C.

Practice address

3511 Farrington St
Flushing, NY 11354-2826

Phone

(718) 886-6677

Fax

(718) 886-1413

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ho Yon Kim, M.D.

Title

President

Phone

(718) 886-6677

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831125400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 FARRINGTON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542826",
            "telephone_number": "718-886-6677",
            "fax_number": "718-886-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 FARRINGTON ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542826",
            "telephone_number": "718-886-6677",
            "fax_number": "718-886-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOAM MEDICAL SERVICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HO",
        "authorized_official_middle_name": "YON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "184700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01769319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taeho Ko
• Tommy Ko
• Wan Yao Amanda Ko, MSOTR/L
• Wilson Ko, M.D.
• Koam Dental, PC
• Koam Physical Therapy, P.C.
• Liat Kobaivanov
• Chaya Lieba Kobernick, PSYD
• Zahava Koch Gross
• Eli Koenig, M.D.

• Psychiatry Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.