BON C. KOO (NPI# 1265586804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265586804 |
| Entity Type | Individual |
| Full Name | BON C. KOO |
| Credential | M.D. |
| Practice Address |
8045 Winchester Blvd Queens Village NY 11427-2193 |
| Practice Telephone | 7182644296 |
| Practice Fax Number | 7182644212 |
| Mailing Telephone | 7182644296 |
| Mailing Fax Number | 7182644212 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 134508 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829280 | Bon Chul Koo | Radiology | 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 | 2005-08-25 |
| Street Address |
8045 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063529907 | Hemlata Dalvi | Psychiatry & Neurology | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2006-08-24 |
| 1790226058 | Saly Geevarghese | Registered Nurse | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2017-03-19 |
| 1528509544 | Lise Hershkowitz | Occupational Therapist | 8045 Winchester Blvd, Ot Department, Queens Village, NY 11427-2193 | 2017-03-09 |
| 1205381910 | Jie Wu | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-08-23 |
| 1992165799 | Pauline Prin | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-03-07 |
| 1346609245 | Kimberly Mosley | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-02-19 |
| 1386001410 | Jacqueline Bailey | Community Health Worker | 8045 Winchester Blvd, Bldg 73 Second Floor, Queens Village, NY 11427-2193 | 2016-01-20 |
| 1679939771 | Sanije Tabares | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2016-01-06 |
| 1124483128 | Magalie Pierre | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| 1255796256 | Cynthia Bono | Counselor | 8045 Winchester Blvd, Queens Village, NY 11427-2193 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205113925 | Creedmoor Psychiatric Center | Long Term Care Hospital | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1891236485 | Omolara Omotunde-oniwe | Long Term Care Hospital | 13720 171st St, Jamaica, NY 11434-4506 | 2017-03-15 |
| 1972047934 | Lilian M Collins | Long Term Care Hospital | 742 Bartholdi St, Bronx, NY 10467-6206 | 2016-12-10 |
| 1740734557 | Jacobi Medical Center | Long Term Care Hospital | 2265 5th Ave Apt 1b, New York, NY 10037-2051 | 2016-08-09 |
| 1306228085 | Wyckoff Dr. Guberman Wyckoff Heights Medical Center | Long Term Care Hospital | 1488 Buschwick Ave, Apt #4c, Brooklyn, NY 11207 | 2015-06-18 |
| 1104235308 | Shanti Koirala Pradhan | Long Term Care Hospital | 1955 1st Ave Apt 721, Aspen Apt 721, New York, NY 10029-6446 | 2014-08-13 |
| 1982945754 | Elena Mare Barone | Long Term Care Hospital | 56 Quincy Pl, West Islip, NY 11795-1938 | 2013-03-04 |
| 1528302494 | Kelly Mcmurray | Long Term Care Hospital | 32 Losson Garden Dr Apt 2, Cheektowaga, NY 14227-2305 | 2012-11-16 |
| 1437426905 | New York University Langone Medical Center | Long Term Care Hospital | 425 E 114th St Apt 4fw, New York, NY 10029-2357 | 2011-11-28 |
| 1952698268 | New York Hospital Queens | Long Term Care Hospital | 335 Meadowview Ave, Hewlett, NY 11557-1701 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.