DR. JEFF JIH KOA (NPI# 1841287133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841287133 |
| Entity Type | Individual |
| Full Name | DR. JEFF JIH KOA |
| Credential | DMD |
| Practice Address |
1201 Troy Schenectady Rd Suite 110 Latham NY 12110-1028 |
| Mailing Address |
1207 Troy Schenectady Rd 108 Latham NY 12110-1011 |
| Practice Telephone | 5187853084 |
| Practice Fax Number | 5187850243 |
| Mailing Telephone | 5187853084 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
046036 | NY | Dental Providers |
| Street Address |
1201 TROY SCHENECTADY RD SUITE 110 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831505221 | Mckenzie Ashley Clemens | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1030 | 2014-07-07 |
| 1851648927 | Fei Yang Xu | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2012-08-08 |
| 1801100938 | Jason Lamont Harris | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1068 | 2010-07-30 |
| 1326100397 | Lise Bradley | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-12-15 |
| 1093873325 | Jang Choi | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-12-06 |
| 1144398298 | Mark Goldman | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-30 |
| 1326113168 | Jacqueline Hall | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-21 |
| 1487729232 | Ralph Fusco | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-21 |
| 1023182946 | Stuart Resnick | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-20 |
| 1346314531 | Carmen Ronca | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295916807 | David Goodcoff | Dentist | 12 Century Hill Dr, Suite #105, Latham, NY 12110-2123 | 2007-11-26 |
| 1912185299 | Lee E. Friedman | Dentist | 12 Century Hill Dr, Suite 105, Latham, NY 12110-2123 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
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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.