Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043957293 Individual Practitioner Female Practitioner

Soo Jin Koo

Pharmacist • Summit, NJ

Professional Overview & Biography Verified Profile Summary

Soo Jin Koo is a registered healthcare professional specializing in Pharmacist in Summit, NJ. Practice services are available at 99 BEAUVOIR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

99 Beauvoir Ave

Summit, NJ 079013533

Telephone 9085222000
Associated Practice Facility / Clinic
🏢 Ahs Hospital Corp. Facility NPI 1740254143

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Summit, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Summit, NJ (8390 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI04193400

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003262783

Doctor of Osteopathic Medicine (D.O.)

Mehak Farrukh

Student in an Organized Health Care Education/Training Program

NPI 1003756560
NPI 1013112069

Doctor of Medicine (M.D.)

Darnell Stith , APN

Nurse Practitioner

NPI 1023790276

Advanced Practice Nurse

NPI 1033425277

Doctor of Medicine (M.D.)

Ami Patel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033513866

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2022

Registered at 99 BEAUVOIR AVE, SUMMIT, NJ 079013533 (Tel: 9085222000)

📍
Updated Business Mailing Address May 18, 2022

Registered at 457 HILLSIDE AVE APT 1, PALISADES PARK, NJ 076502489

👤
Provider Name / Credentials Updated May 18, 2022

Recorded as SOO JIN KOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Pharmacist (License #28RI04193400 in NJ)

🟢
Initial NPI Registration & Enumeration May 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043957293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2022
Last Update: May 18, 2022
Sole Proprietor: Yes

Mailing Address

457 Hillside Ave Apt 1

Palisades Park, NJ 076502489

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.