DR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C. (NPI# 1457501082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457501082 |
| Entity Type | Organization |
| Organization Name | DR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C. |
| Practice Address |
5133 Marathon Pkwy Little Neck NY 11362-1716 |
| Practice Telephone | 7183573458 |
| Practice Fax Number | 7183573483 |
| Mailing Telephone | 7183573458 |
| Mailing Fax Number | 7183573483 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. KERN SCOTT KOO (PRESIDENT) |
| Authorized Official Telephone | 7183573458 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
221288 | NY | Ambulatory Health Care Facilities |
| Street Address |
5133 MARATHON PKWY |
| City | LITTLE NECK |
| State | NY |
| Zip Code | 11362-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776760 | Karen Rienzi | Occupational Therapist | 245-37 60th Avenue, Douglaston, NY 11362 | 2020-10-01 |
| 1780154773 | Assisted Development & Growth LLC | Early Intervention Provider Agency | 252-32 60th Avenue, Little Neck, NY 11362 | 2018-12-03 |
| 1326515560 | Gardenia Acupuncture | Acupuncturist | 253 W End Drive, Little Neck, NY 11362 | 2018-10-25 |
| 1275011330 | Erica Leia Hoffman | Community/Behavioral Health | Pride of Judea Community Services, 243-02 Northern Blvd., Douglaston, NY 11362 | 2018-08-01 |
| 1669990669 | Maria Kourounis | Social Worker | Pride of Judea Counseling Center -, 243-02 Northern Blvd., Douglaston, NY 11362 | 2017-08-30 |
| 1639696511 | Hyunyeul Cho | Acupuncturist | 58-17 255th St., Left, Little Neck, NY 11362 | 2017-08-23 |
| 1053837575 | Navarrete Dds Pllc | Dentist | 45-06 Little Neck Pkwy, Suite 204, Little Neck, NY 11362 | 2017-08-16 |
| 1912356155 | Esteer Khelea | Specialist | 24845 Cambria Ave, Little Neck, NY 11362 | 2016-06-08 |
| 1811395304 | Soyoung Lee Tung | Physical Therapist | 249-16 60th Ave, 1f, Little Neck, NY 11362 | 2014-12-15 |
| 1376969584 | Linette J Giuliano | Social Worker | 46-24 243rd Street, Douglaston, NY 11362 | 2014-03-12 |
| Find all providers in zip 11362 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573205 | Kam Primary Care, P.C. | Clinic/Center | 24812 Northern Blvd, 2a, Little Neck, NY 11362-1206 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE NECK |
| Zip Code | 11362 |
Please comment or provide details below to improve the information on DR. KERN S. KOO, GENERAL &FAMILY MEDICINE, P.C..
| 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.