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STEPHANIE MCKINNEY KOO PA-C
NPI 1508015892
Physician Assistant - Surgical in New York, NY

Active since September 11, 2008PECOS Enrolled
535 E 70TH ST, NEW YORK, NY 10021(212) 606-1000 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2021, Oct 30, 2017 (2 updates tracked since 2017).

About Stephanie Mckinney Koo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MCKINNEY KOO PA-C (NPI 1508015892) is an individual surgical provider in New York, New York, licensed in New York (013524) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508015892
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTEPHANIE MCKINNEY KOOCredential: PA-C
Location Address535 E 70TH STNew York, NY 10021-4823
Mailing Address423 E 83rd St Apt 3bNew York, NY 10028-5520 · (248) 396-2718
Phone(212) 606-1000
Sole ProprietorNo
Enumeration DateSeptember 11, 2008
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1508015892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 013524
Also ListedPhysician AssistantTaxonomy 363A00000X · License 002148 (CT)
535 E 70TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 2

Other013524NY · New York License
Other002148CT · Connecticut License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Mckinney Koo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH E. MCCORD PA-C
Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1585
MICHAEL NEWMAN SINGLETON M.D.
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1036
GRETCHEN OSTRANDER ATC
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
New York County (203) 257-5414
AMANDA PERLMUTTER
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1137
MONICA ANIS MD
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (201) 527-7051
MARIANA SOFIA MOREIRAS
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
New York County (917) 260-4970
DR. SHEVAUN MACKIE DOYLE MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
New York County (646) 797-8816
NATISHA REGINA ROSS PA-C
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Koo's NPI number?

The NPI number for Stephanie Koo is 1508015892. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Stephanie Koo located?

Stephanie Koo practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1000.

What is Stephanie Koo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stephanie Koo enrolled in Medicare?

Yes. Stephanie Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Koo was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.