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

Individual provider Surgical Physician Assistant · NPI 1073752986

Lauren Irene Kossack, PA is a Physician Assistant in New York, New York. Qualified in 2001, 25 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3201 Kings Hwy, Brooklyn, NY 11234-2625 — (718) 951-2927

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 008241 (NY)

Record details

NPI number1073752986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 17, 2009
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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