Individual provider Active NPI

Joseph Robert Koka, M.D.

  • Obstetrics & Gynecology Physician
  • Mineola, NY
National Provider Identifier
1972689503
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
166167 Issued in NY
Practice address
120 Mineola Blvd Ste 100
Mineola, NY 11501-4077
Phone
(516) 663-3010
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 166167 NY
Obstetrics Physician 207VX0000X 166167 NY
Obstetrics & Gynecology Physician 207V00000X 166167 NY Primary

Addresses

Primary practice location

120 Mineola Blvd Ste 100
Mineola, NY 11501-4077

Mailing address

22 Waterville Rd
Avon, CT 06001-2066

Other practice location 1

8 Seitz Dr
Bethpage, NY 11714-6017
Phone (516) 579-6130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkoka230016@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000558 NY Practitioner - Obstetrics/Gynecology 7416979869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166167NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Dolan Family Health Center CurrentSince Aug 14, 2017 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 100
Mineola, NY 11501
Phone (516) 663-2010

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: jkoka230016@nyumc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1972689503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WATERVILLE RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD STE 100",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014077",
            "telephone_number": "516-663-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Seitz Dr",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117146017",
            "country_code": "US",
            "telephone_number": "516-579-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKA",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "166167",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "166167",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "166167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkoka230016@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 Mineola Blvd Ste 100",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.