INJUNG KO NP
NPI 1720744766
Nurse Practitioner - Adult Health in Bayside, NY
About Injung Ko Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INJUNG KO NP (NPI 1720744766) is an individual adult health provider in Bayside, New York, licensed in New York (F310572) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Injung Ko Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Injung Ko reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Upper Saddle River, NJ 07458
- Reassigned Medicare billing, New York enrollment
- 22 clinicians in this Medicare group
Lakewood, NJ 08701
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Simon Fensterszaub Do Nj PC
- 28 clinicians in this Medicare group
Morton Grove, IL 60053
- Reassigned Medicare billing, New Jersey enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Injung Ko's NPI number?
The NPI number for Injung Ko is 1720744766. It was assigned to this individual provider in the NPPES registry on November 15, 2021.
Where is Injung Ko located?
Injung Ko practices at 21102 73rd Ave, Bayside, NY 11364. The listed phone number is (347) 421-4789.
What is Injung Ko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Injung Ko enrolled in Medicare?
Yes. Injung Ko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Injung Ko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Injung Ko reassigns Medicare benefits to 6 organizations: Downtown Bronx Medical Associates PC (Bronx, NY), Clear Choice Medical PC (Brooklyn, NY), Ilm Medical Care PLLC (Brooklyn, NY), Silver Star Medical Association Of Nj PC (Upper Saddle River, NJ), Great Health Medical New Jersey PC (Lakewood, NJ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Injung Ko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Injung Ko was last updated on April 5, 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.
# Injung Ko, NP · NPI 1720744766
Adult Health physician in Bayside, New York. Individual provider, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1720744766 (Entity type: Individual)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310572 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21102 73RD AVE, Bayside, NY 11364-2855
- **Phone:** (347) 421-4789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY); Clear Choice Medical PC (NPI 1285155499, Brooklyn, NY); Ilm Medical Care PLLC (NPI 1023442035, Brooklyn, NY); Silver Star Medical Association Of Nj PC (NPI 1710677091, Upper Saddle River, NJ); Great Health Medical New Jersey PC (NPI 1417681008, Lakewood, NJ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720744766) · Data from the CMS NPPES public registry.