Individual provider · Type 1 NPI

Jason Everett Kooch, DO

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Syosset, NY

NPI number 1902804347 Active

Practice location

115 Eileen Way
Syosset, NY 11791-5323

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XOS013001 (PA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900X326507 (NY)

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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About NPI 1902804347

Jason Everett Kooch, DO's National Provider Identifier is 1902804347, issued on Jul 11, 2005. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Syosset, NY. The record was last updated on May 13, 2025.