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

Dr. Jason Everett Kooch, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1902804347

Dr. Jason Everett Kooch, DO is a Physical Medicine and Rehabilitation in Syosset, New York. Qualified in 2000, 26 years ago. Practices with Orthopaedics Spine and Sports Medicine, LLC, a 24-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
26
Licensed in
NY, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

115 Eileen Way
Syosset, NY 11791-5323
Phone: (516) 795-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 326507 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence OS013001 (PA)

Record details

NPI number1902804347
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address115 Eileen Way, Syosset, NY 11791-5323

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Orthopaedics Spine And Sports Medicine, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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