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

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

Other identifiers 16

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 (7 of 11)

Locations

Networks

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

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.

• Orthopaedics Spine and Sports Medicine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Bayonne, NJ
  • NPI 1154030328

  NJ

  Medicare reassignment Care Compare group NPD
• Peak Medical & Wellness Centers LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
  • NPI 1336994383

  NJ, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Total Orthopedics Spine and Sports Medicine NJ LLC

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1851142467

  NJ

  Medicare reassignment Care Compare group NPD
• Hudson Spine and Pain Medicine, PC

  • Pain Clinic/Center
  • New York, NY
  • NPI 1639418858

  NY

  Medicare reassignment NPD
• Orthopaedics Spine and Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063

  NY, Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Dr. Kooch LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hoboken, NJ
  • NPI 1407568405

  Pain Medicine

  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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH CENTRAL",
            "identifier": "50044478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6432850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2170526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2299715000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50044478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2299715000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "397414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "821131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1622793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH EAST",
            "identifier": "2299715000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7466584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "90338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3356842",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011608520001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2458473",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230776",
            "state": null
        }
    ],
    "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.