Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON EVERETT KOOCH, D.O.
ActiveDR. JASON EVERETT KOOCH, D.O. is a Pain Medicine (PM&R) healthcare provider located in SYOSSET, New York. NPI 1902804347 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · SYOSSET, NY
Registration Details
- NPI Number
- 1902804347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (21.124863166734 yrs)
- Last Updated
- May 13, 2025
- Licenses
-
OS013001 (PA)326507 (NY)
Practice Information
- Address
-
115 EILEEN WAYSYOSSET, NY, 117915323Browse NY providers · Browse ZIP 11791
- Phone
- 5167953033
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
Other Pain Medicine (PM&R) Providers in SYOSSET, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH ANTHONY BAX | D.O. | 1750417283 |
| TERESA BIANCHI | D.O. | 1841603289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.