Vincent D Koh, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

125850-1 Issued in NY

Practice address

19 Baker Ave
Suite 202
Poughkeepsie, NY 12601-1359

Phone

(845) 454-4212

Fax

(845) 454-4213

NPI assigned

Sep 7, 2005

Last updated

Aug 3, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1952395881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012929",
            "telephone_number": "518-812-0800",
            "fax_number": "518-812-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-454-4212",
            "fax_number": "845-454-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "VINCENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "125850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00361106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Kodangal
• Sandra Joan Koenig, M.S.
• Brenda Karen Koepp, PT
• Sean Andrew Koerner
• Stuart Abraham Kofsky, D.D.S.
• Eugene Raymond Koloski, MD
• Sukumar Komanapalli
• Yelena Komissarova, MD
• Astha Koolwal Kapoor, M.B.B.S. M.D.
• Benjamin Kornbluth

• Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.