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

Edwin Koo

Individual provider Medical Physician Assistant · NPI 1700538956

Edwin Koo is a Physician Assistant in Roslyn, New York. Qualified in 2022, 4 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone: (516) 562-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1700538956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESMarch 2, 2022
Certification dateJanuary 31, 2022
Mailing address100 Port Washington Blvd, Roslyn, NY 11576-1347

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roslyn