Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bon Chang A. Koo, MD

Individual provider Gastroenterology Physician · NPI 1396960043

Bon Chang A. Koo, MD is a Gastroenterology in New Windsor, New York. Graduated from New York University Medical College - Nlg in 2000, 26 years ago. Practices with Mpv New Jersey MD Services PC, a 145-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
26
Trained at
New York University Medical College - Nlg
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

277 Quassaick Avenue (rt 94)
New Windsor, NY 12553
Phone: (845) 565-5630
Fax: (845) 565-5643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MA09230600 (NJ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 230774-1 (NY)

Record details

NPI number1396960043
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESApril 29, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolNEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduated 2000 (26 years in practice)
Group practice Mpv New Jersey Md Services Pc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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