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NPI · 1396960043 · NPPES-sourced

Bon Chang Koo MD

ActiveGastroenterology
NPI Number
1396960043
Type 1 · Individual
Taxonomy Code
207RG0100X
Contact
(845) 565-5630
License NJ · 25MA09230600
Last Updated
Enumerated
Primary practice addressNY · 12553
277 Quassaick Avenue (rt. 94)New Windsor, NY 12553
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About this NPIWhat this record shows.

NPI 1396960043 is registered to Bon Chang Koo MD, a Gastroenterology practising at 277 Quassaick Avenue (rt. 94) in New Windsor, New York. Gastroenterology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Bon Chang Koo MD has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Bon Chang Koo MD accepts. To confirm in-network status with your specific health plan, contact Bon Chang Koo MD directly at (845) 565-5630.

Frequently asked

Yes. NPI 1396960043 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gastroenterology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (845) 565-5630.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Bon Chang Koo MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RG0100X
Last updated
Enumerated
StatusActive
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