WON-JOON MIKE KOH MD
NPI 1962088500
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 23, 2021PECOS Enrolled
1000 10TH AVE STE 3A-08, NEW YORK, NY 10019(212) 259-6777 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Won-joon Mike Koh Md NPPES

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

WON-JOON MIKE KOH MD (NPI 1962088500) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1962088500
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWON-JOON MIKE KOHCredential: MD
Location Address1000 10TH AVE STE 3A-08New York, NY 10019-1147
Mailing Address14125 Northern Blvd Apt D25Flushing, NY 11354-4207 · (718) 578-3592
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1962088500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 10TH AVE STE 3A-08, New York, NY 10019

Secondary Practice Location 1

Location 11111 Amsterdam AveNew York, NY 10025-1716 · Phone (718) 578-3592

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Won-joon Mike Koh Md 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.

Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE STE 3A-08
NEW YORK, NY 10019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962088500, enumerated as an "individual" on March 23, 2021.

The provider is located at 1000 10TH AVE STE 3A-08 NEW YORK, NY 10019 and the phone number is (212) 259-6777.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.