Jason Everett Kooch, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

326507 Issued in NY

Practice address

115 Eileen Way
Syosset, NY 11791-5323

Phone

(516) 795-3033

NPI assigned

Jul 11, 2005

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics Spine and Sports Medicine, LLCGroup PAC ID 0648318063, 4 clinicians

Total Orthopedics Spine and Sports Medicine NJ LLCGroup PAC ID 5890280259, 3 clinicians

Peak Medical and Wellness Centers LLCGroup PAC ID 5294176236, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopedics and Sports Medicine

  • Orthopaedic Surgery of the Spine Physician
  • Bayonne, NJ
  • NPI 1154030328
  Medicare reassignment Care Compare group NPD
• Peak Medical & Wellness Centers LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
  • NPI 1336994383
  Medicare reassignment Care Compare group NPD
• Total Orthopedics Spine and Sports Medicine NJ LLC

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1851142467
  Medicare reassignment Care Compare group NPD
• Hudson Spine and Pain Medicine, PC

  • Pain Clinic/Center
  • New York, NY
  • NPI 1639418858
  Medicare reassignment NPD
• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopaedics and Sports Medicine, LLP

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Dr. Kooch LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hoboken, NJ
  • NPI 1407568405
  NPD Authorized official
• Loyalsock Chiropractic Center Inc.

  • Chiropractor
  • Williamsport, PA
  • NPI 1073793196
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1902804347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915323",
            "telephone_number": "516-795-3033",
            "fax_number": "516-795-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915323",
            "telephone_number": "516-795-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOCH",
        "first_name": "JASON",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS013001",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "326507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jefffrey Kobak, D.D.S.
• Kerri Ann Kocoris
• Jennifer Diane Kolasinski, DPT
• Deqiong Kong
• Izabela Konopko, PSYD
• Gary A Korn
• Joyce Korn, L.C.S.W.
• Stanley Saul Kornberg, MA CCC SLP
• Monika D Kotapka, PA
• Beverley Marion Kraszewski-Silverman, D.O.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.