Active NPI
Mary E Ko, DPT
- Specialist
- Cedar Grove, NJ
National Provider Identifier
1881837557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA01025800
- Practice address
- 194 2ND Ave
Cedar Grove, NJ 07009-1141 - Phone
- (973) 256-0330
- Fax
- (973) 812-0339
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA01025800 | NJ | Primary |
Addresses
Primary practice location
194 2ND Ave
Cedar Grove, NJ 07009-1141
Mailing address
194 2ND Ave
PO Box 319
Cedar Grove, NJ 07009-1141
Phone (973) 256-0330
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1881837557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 2ND AVE",
"address_2": "PO BOX 319",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091141",
"telephone_number": "973-256-0330",
"fax_number": "973-812-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 2ND AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091141",
"telephone_number": "973-256-0330",
"fax_number": "973-812-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA01025800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.