Individual provider Active NPI

Clara Seihyun Koo, MD

  • Diagnostic Radiology Physician
  • Cedar Knolls, NJ
National Provider Identifier
1831726249
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA12531400 Issued in NJ
Practice address
197 Ridgedale Ave Ste 120
Cedar Knolls, NJ 07927-2107
Phone
(973) 695-1290
Fax
(973) 695-1295
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA12531400 NJ Primary

Addresses

Primary practice location

197 Ridgedale Ave Ste 120
Cedar Knolls, NJ 07927-2107

Mailing address

197 Ridgedale Ave Ste 120
Cedar Knolls, NJ 07927-2107
Phone (973) 695-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250320002076 NJ Practitioner - Diagnostic Radiology 8022530948 Reassigns benefits to 2 organizations
I20250327000263 NY Practitioner - Diagnostic Radiology 8022530948 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Apr 20, 2026 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

29493 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Ste 120
Cedar Knolls, NJ 07927
Phone (973) 695-1290

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

116 Park St
Montclair, NJ 07042
Phone (973) 661-4674

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

13528 37th Ave
Flushing, NY 11354
Phone (443) 220-3535

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Organizations & group practices 5

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1831726249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 120",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272107",
            "telephone_number": "973-695-1290",
            "fax_number": "973-695-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 120",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272107",
            "telephone_number": "973-695-1290",
            "fax_number": "973-695-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "CLARA",
        "middle_name": "SEIHYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12531400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.