BON CHANG A. KOO (NPI# 1396960043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396960043 |
| Entity Type | Individual |
| Full Name | BON CHANG A. KOO |
| Credential | MD |
| Practice Address |
277 Quassaick Avenue (rt. 94) New Windsor NY 12553 |
| Mailing Address |
466 Old Hook Rd. Suite 1 Emerson NJ 07630-1368 |
| Practice Telephone | 8455655630 |
| Practice Fax Number | 8455655643 |
| Mailing Telephone | 2019678221 |
| Mailing Fax Number | 2016349647 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2013-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA09230600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
230774-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
277 QUASSAICK AVENUE (RT. 94) |
| City | NEW WINDSOR |
| State | NY |
| Zip Code | 12553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578080891 | Trevon Solivan | Licensed Practical Nurse | 40 Cedar Lane Apt 2, New Windsor, NY 12553 | 2017-08-28 |
| 1336695097 | Toni Casiano | Licensed Practical Nurse | 1204 Corporal Tremblay Way, New Windsor, NY 12553 | 2016-08-31 |
| 1952765729 | Chelsea Burawa | Speech-Language Pathologist | Hudson Valley Speech and Swallowing Therapy, 815 Blooming Grove Turnpike, New Windsor, NY 12553 | 2016-04-07 |
| 1740656586 | Juliana F Fiore | Physical Therapist | 219 Blooming Grove Turnpike, New Windsor, NY 12553 | 2015-08-17 |
| 1629472857 | Maryellen Banker | Social Worker | 10 Kayleen Dr., Windsor Counseling Group, New Windsor, NY 12553 | 2014-10-17 |
| 1720488398 | Stacey Browne | Speech-Language Pathologist | 119 Winding Brook Ct, New Windsor, NY 12553 | 2014-09-02 |
| 1154731404 | Greenburgh - North Castle Ufsd/kaplan Career Academy | Local Education Agency (LEA) | 623 Blooming Grove Turnpike, New Windsor, NY 12553 | 2014-05-07 |
| 1427478114 | Julie Taft | Counselor | 1124 Ny Route 94, Suite 201, New Windsor, NY 12553 | 2014-04-21 |
| 1699199158 | Jessica G Veroline | Social Worker | 930 Raz Avenue, Arc of Orange County New Windsor Ple, New Windsor, NY 12553 | 2014-02-04 |
| 1316374762 | Aggies Full Beauty Salon | General Acute Care Hospital | 420 State Route 32, Vails Gate, NY 12553 | 2013-10-01 |
| Find all providers in zip 12553 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1053534578 | Arif M Muslim | Internal Medicine | 955 Little Britain Rd, New Windsor, NY 12553-7354 | 2007-04-11 |
| 1821097742 | Dean Nick Cassimatis | Internal Medicine | 277 Quassaick Ave, Rt. 94, New Windsor, NY 12553-7632 | 2005-07-21 |
| 1821076951 | Hudson Valley Gastroenterology Associates, PC | Internal Medicine | 277 Quassaick Ave, Rt 94, New Windsor, NY 12553-7632 | 2006-01-09 |
| 1528067444 | Seth Alan Levin | Internal Medicine | 277 Quassaick Ave, Rt. 94, New Windsor, NY 12553-7632 | 2005-07-21 |
| 1538169461 | Murali Authur Perumal | Internal Medicine | 277 Quassaick Ave, Rt. 94, New Windsor, NY 12553-7632 | 2005-07-21 |
| 1598765430 | Thomas Aquinas Scileppi | Internal Medicine | 277 Quassaick Ave, Rt. 94, New Windsor, NY 12553-7632 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW WINDSOR |
| Zip Code | 12553 |
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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.