MR. JOHN KOCH PA
NPI 1629151220
Physician Assistant in Newark, NY

Q: What is John Koch's NPI number?

The NPI number for John Koch is 1629151220. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is John Koch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Koch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 24, 2006

1208 DRIVING PARK AVE, NEWARK, NY 14513(315) 359-2640(315) 359-2645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. John Koch Pa NPPES

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

MR. JOHN KOCH PA (NPI 1629151220) is an individual physician assistant in Newark, New York, licensed in New York (000308) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629151220

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHN KOCHCredential: PA

Location Address1208 DRIVING PARK AVENewark, NY 14513-1057

Mailing Address1208 Driving Park AveNewark, NY 14513-1057 · (315) 359-2640 · Fax (315) 359-2645

Phone(315) 359-2640

Fax(315) 359-2645

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629151220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 000308

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1208 DRIVING PARK AVE, Newark, NY 14513

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Other Identifiers 2

Medicare UPINS15963NY

Medicare ID-Type UnspecifiedE76001NY

Other Providers at the Same Location NPPES 18

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

KULJINDER DEOL M.D

Internal Medicine