Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700538956 Individual Practitioner Male Practitioner

Edwin Koo

Physician Assistant • Roslyn, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edwin Koo is a certified Physician Assistant practicing in Roslyn, NY. With approximately 4 years of clinical experience since completing medical education in 2022, Edwin Koo delivers high-quality medical care to the local community at 100 PORT WASHINGTON BLVD.

Edwin Koo is affiliated with Samaritan Medical Services Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 Port Washington Blvd

Roslyn, NY 115761347

Telephone 5165626000
Associated Practice Facility / Clinic
🏢 Pediatric Cardiology Of Li Pc Facility NPI 1003883653

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roslyn, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -10.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
118 Specialists

Practicing in Roslyn, NY (15701 Statewide)

Telehealth Adoption Rate
1.7% 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 (4 Years) 4 Yrs
Roslyn Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Hospital & Practice Group Affiliations

Samaritan Medical Services Pc

1000 Montauk Hwy, West Islip, NY 117954927

Phone: 5167052689

Samaritan Medical Services Pc

100 Port Washington Blvd, Roslyn, NY 115761347

Phone: 5163257520

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Mena Yacoub , DO

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1003223835

Doctor of Osteopathic Medicine (D.O.)

Julia Cohen

Physician Assistant

NPI 1003784745
NPI 1033967161

Doctor of Pharmacy (Pharm.D.)

Kimberly Sanford , MPAS, PA-C

Physician Assistant - Medical

NPI 1043632615

MPAS, Physician Assistant (Certified)

Garrett Chan , PA-C

Physician Assistant

NPI 1043668833

Physician Assistant (Certified)

Thomas Schneider , NP

Nurse Practitioner - Adult Health

NPI 1043720394

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 02, 2022

Registered at 100 PORT WASHINGTON BLVD, ROSLYN, NY 115761347

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2022

Physician Assistant

NPI Profile Active January 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2022

Registered at 100 PORT WASHINGTON BLVD, ROSLYN, NY 115761347 (Tel: 5165626000)

📍
Updated Business Mailing Address January 19, 2022

Registered at 10 KINGSTON RD, MOUNT SINAI, NY 117662615

👤
Provider Name / Credentials Updated January 19, 2022

Recorded as EDWIN KOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 19, 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: 1700538956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2022
Last Update: March 02, 2022
Sole Proprietor: Yes

Mailing Address

100 Port Washington Blvd

Roslyn, NY 115761347

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.