Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609737196 Individual Practitioner Male Practitioner

Main Sen Koo

Physician Assistant • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Main Sen Koo is a certified Physician Assistant practicing in Elmhurst, NY. With approximately 1 years of clinical experience since completing medical education in 2025, Main Sen Koo delivers high-quality medical care to the local community at 7901 BROADWAY.

Main Sen Koo does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7901 Broadway

Elmhurst, NY 113731329

Telephone 8446924692
Associated Practice Facility / Clinic
🏢 Newtown Dialysis Center, Inc Facility NPI 1801883707

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elmhurst, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
147 Specialists

Practicing in Elmhurst, NY (15701 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koo (1 Years) 1 Yrs
Elmhurst Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 035062

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Cyril Varghese , MD

Radiology - Diagnostic Radiology

NPI 1003128232

Doctor of Medicine (M.D.)

Tiffany Aromolo , MS, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1003639410

Master of Science, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Kyra Quynn Manayan-Leonard , MD

Student in an Organized Health Care Education/Training Program

NPI 1003758806

Doctor of Medicine (M.D.)

Uloaku Nwoke , NP

Nurse Practitioner - Family

NPI 1013451343

Nurse Practitioner

Sarah Ziegler

Physician Assistant

NPI 1013672740
Gwendolyn Miller

Student in an Organized Health Care Education/Training Program

NPI 1013850445

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 28, 2025

Registered at 7901 BROADWAY, ELMHURST, NY 113731329 (Tel: 8446924692)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2025

Physician Assistant (License #035062 in NY)

NPI Profile Active November 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2025

Registered at 700 E BUTLER AVE, DOYLESTOWN, PA 189012607 (Tel: 8002335825)

📍
Updated Business Mailing Address November 24, 2025

Registered at 3708 MAIN ST STE 209, FLUSHING, NY 113546537

👤
Provider Name / Credentials Updated November 24, 2025

Recorded as MAIN SEN KOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Main Sen Koo. Be the first to share your experience!

Sign in to leave a review for Main Sen Koo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609737196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2025
Last Update: December 28, 2025
Sole Proprietor: Yes

Mailing Address

3708 Main St Ste 209

Flushing, NY 113546537

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.