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JESSE KO, MD, PLLC
NPI 1518145366
Pediatrics in Bayside, NY

Active since February 04, 2008CLIA 33D2188125 · Waiver
20945 45TH RD FL 1, BAYSIDE, NY 11361(718) 423-7200(718) 224-8727 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Ko, Md, Pllc NPPES

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

JESSE KO, MD, PLLC (NPI 1518145366) is a healthcare organization registered as a pediatrics in Bayside, New York and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Jesse Ko, Owner, as its authorized official.

NPPES Registry Identity

NPI1518145366
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJESSE KO, MD, PLLC
Location Address20945 45TH RD FL 1Bayside, NY 11361-3233
Mailing Address20945 45th Rd Fl 1Bayside, NY 11361-3233 · (718) 423-7200 · Fax (718) 224-8727
Phone(718) 423-7200
Fax(718) 224-8727
Organization SubpartNo
Authorized OfficialJesse KoOwner · (718) 423-7200
Enumeration DateFebruary 4, 2008
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1518145366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 213571
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20945 45TH RD FL 1, Bayside, NY 11361
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2188125

Jesse Ko MD PLLC · Bayside, NY
Active · expires Jul 12, 2028
CLIA Number33D2188125
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorDr. Jesse Ko
Laboratory Phone(718) 423-7200
Laboratory LocationJesse Ko MD PLLC209-45 45th Rd, 1st Fl, Bayside, NY 11361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JESSE KO M.D.
Pediatrics
20945 45TH RD FL 1
BAYSIDE, NY 11361
Queens County (718) 423-7200

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 Jesse Ko, MD, PLLC's NPI number?

The NPI number for Jesse Ko, MD, PLLC is 1518145366. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Jesse Ko, MD, PLLC located?

Jesse Ko, MD, PLLC is located at 20945 45th Rd Fl 1, Bayside, NY 11361. The listed phone number is (718) 423-7200.

What is Jesse Ko, MD, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Jesse Ko, MD, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2188125) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jesse Ko, MD, PLLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.