DR. CHARLES H KOO (NPI# 1396782595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396782595 |
| Entity Type | Individual |
| Full Name | DR. CHARLES H KOO |
| Credential | M.D. |
| Practice Address |
11 Meridian Rd Eatontown NJ 07724-2242 |
| Practice Telephone | 7326630300 |
| Practice Fax Number | 7326630301 |
| Mailing Telephone | 7326630300 |
| Mailing Fax Number | 7326630301 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA07568100 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
25MA07568100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
153588 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0003352 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194001875 | Charles C Koo | Massage Therapist | 430 Sherman Ave Ste 205, Palo Alto, CA 94306-1853 | 2011-10-26 |
| 1356464663 | Charles Chungmo Koo | Dentist | 2405 W 8th St, Suite 202, Los Angeles, CA 90057-5016 | 2007-04-10 |
| 1609947597 | Charles C. Koo | Pathology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| Street Address |
11 MERIDIAN RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679490 | Lance Seth Berger | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2005-06-17 |
| 1700428158 | Marissa Ashley Naparlo | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-10-16 |
| 1811555709 | Kimberly Ann Hagen | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-06-05 |
| 1699242669 | Rachel Groves | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2018-10-29 |
| 1942725213 | Elyse Roddy | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2017-08-08 |
| 1154877967 | Kaitlin Rogers | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-08-31 |
| 1184082349 | Cara Fehnel | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-02-03 |
| 1851648687 | Victoria Catherine Vallejo | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-08-10 |
| 1134480205 | Jeffrey Craig Selan | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-06-05 |
| 1124311642 | Daniel Harris Kiss | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033475249 | Mariam Gamal Wassef | Internal Medicine | 274 Route 35, Eatontown, NJ 07724 | 2012-04-02 |
| 1326015306 | Louis Steven Zukerman | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770619264 | Cardiac Arrhythmia Specialist PC | Internal Medicine | 524 Clifton Ave, Clifton, NJ 07011-3259 | 2007-02-26 |
| 1861501066 | Joaquim J. Correia, Md LLC | Internal Medicine | 243 Chestnut St Ste 2l, Newark, NJ 07105-6501 | 2006-08-30 |
| 1427085109 | Atul Prakash | Internal Medicine | 905 Allwood Rd Ste 103, Clifton, NJ 07012-1946 | 2006-06-27 |
| 1396706651 | Kataneh Maleki | Internal Medicine | 110 Somerset St, 1212, New Brunswick, NJ 08901-4800 | 2006-03-28 |
| 1760001077 | Hm Cardiology | Internal Medicine | 201 Lower Notch Rd, Little Falls, NJ 07424-1802 | 2020-04-16 |
| 1841716321 | Cardioep LLC | Internal Medicine | 1270 Highway 35, Middletown, NJ 07748-2014 | 2017-08-16 |
| 1124360029 | Kataneh Maleki Md LLC | Internal Medicine | 98 James St, Unit 104, Edison, NJ 08820-3902 | 2013-03-19 |
| 1124369822 | Mercer Physician Services PC | Internal Medicine | 3140 Princeton Pike, 2nd Floor, Lawrenceville, NJ 08648-2330 | 2013-03-06 |
| 1932444940 | Theodore James Maglione IIi | Internal Medicine | 1 Robert Wood Johnson Pl, Dept. of Medicine, New Brunswick, NJ 08901-1928 | 2012-12-02 |
| 1245595149 | Aatish Garg | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2012-07-07 |
| Find all providers with the same taxonomy | ||||
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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.