YONGSOON KO NP NPI 1043220098

NPI Information

NPI: 1043220098
Provider Name: YONGSOON KO, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
230 E. RIDGEWOOD AVE
BERGEN REGIONAL MEDICAL CENTER
PARAMUS, NJ
ZIP 07652
Phone: (201) 207-9557
Get Directions

Yongsoon Ko, NP is an adult health nurse practitioner in Paramus, NJ. Yongsoon Ko, NP NPI is 1043220098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 E. RIDGEWOOD AVE
BERGEN REGIONAL MEDICAL CENTER
PARAMUS, NJ
ZIP 07652-142
Phone: (201) 207-9557
Fax: (201) 784-1136

The NPI 1043220098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		F303116-1	NEW YORK	No
2	363L00000X	Nurse Practitioner		26NN07873000	NEW JERSEY	No
3	363LA2200X	Nurse Practitioner	Adult Health	26NN07873000	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2E4401	MEDICARE ID-TYPE UNSPECIFIED
2	P42955	MEDICARE UPIN
3	02196743	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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