Bon Chang A Koo, MD | |
277 Quassaick Avenue (rt. 94), New Windsor, NY 12553 | |
(845) 565-5630 | |
(845) 565-5643 |
Full Name | Bon Chang A Koo |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 24 Years |
Location | 277 Quassaick Avenue (rt. 94), New Windsor, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396960043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 230774-1 (New York) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 25MA09230600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Hospital | Ridgewood, NJ | Hospital |
Hackensack Meridian Health Pascack Valley Medical | Westwood, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mpv New Jersey Md Services Pc | 5991097669 | 122 |
Entity Name | Premier Medical Alliance Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093142895 PECOS PAC ID: 8123258118 Enrollment ID: O20140314000017 |
Entity Name | Mpv New Jersey Md Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215391271 PECOS PAC ID: 5991097669 Enrollment ID: O20160718000760 |
Mailing Address | Practice Location Address |
---|---|
Bon Chang A Koo, MD 466 Old Hook Rd., Suite 1, Emerson, NJ 07630-1368 Ph: (201) 967-8221 | Bon Chang A Koo, MD 277 Quassaick Avenue (rt. 94), New Windsor, NY 12553 Ph: (845) 565-5630 |
Frederick C Beckett Iii, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 484 Temple Hill Rd, Suite 104, New Windsor, NY 12553 Phone: 845-565-3700 | |
Dr. Joseph George, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 575 Hudson Valley Ave, Ste 200, New Windsor, NY 12553 Phone: 845-561-2773 Fax: 914-593-7881 | |
Dr. Perla Joyce Andin, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 905 Little Britain Rd, New Windsor, NY 12553 Phone: 845-564-7066 Fax: 845-549-1044 | |
Anne R. Mullin, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3068 Route 9w Ste 200, New Windsor, NY 12553 Phone: 845-534-9590 Fax: 845-534-9685 | |
Mahavir Singh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3074 9 W South, New Windsor, NY 12553 Phone: 845-561-8902 Fax: 845-561-8910 | |
Arif M Muslim, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 955 Little Britain Rd, New Windsor, NY 12553 Phone: 845-562-0740 | |
Alexandra Lynn Depastene, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3068 Route 9w Ste 200, New Windsor, NY 12553 Phone: 845-534-1505 Fax: 845-534-1504 |