Agatha Chloe Koch, FNP, RNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

338600-1 Issued in NY

Practice address

51 E 25TH Street 6TH Floor
New York, NY 10010

Phone

(212) 813-3632

Fax

(212) 696-0108

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: akoch1136084@ahs.direct-ci.com
• Direct secure messaging: agathakoch@ossm.allscriptsdirect.net
• Direct secure messaging: agatha.koch@direct.hobokenumc.md

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.

• Paul-Marie Brisson MD PC

  • Orthopaedic Surgery of the Spine Physician
  • New York City, NY
  • NPI 1497929202
  Medicare reassignment
• Orthopaedics Spine and Sports Medicine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Syosset, NY
  • NPI 1073096590
  NPD
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD
• Orthopaedics Spine and Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1861820342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 25TH STREET 6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-813-3632",
            "fax_number": "212-696-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 25TH STREET 6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-813-3632",
            "fax_number": "212-696-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AGATHA",
        "middle_name": "CHLOE",
        "name_prefix": "Mrs.",
        "credential": "FNP, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "626902-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338600-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861820342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Hope Kobritz, CNM
• Julianna Kobus, RN
• Lucja Kobus
• Tatiana Kobzeva
• Dolunay Kocabag
• Alia Koch, DDS, MD
• Cara Koch
• Christine Marie Koch, MD
• Dana Maria Koch
• David Elliott Koch, PH.D., MSW

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.