Active NPIIndividual provider

Boram Ku, PA

Physician Assistant in Bronxville, New York

NPI Number1235013541
Practice location
55 Palmer Ave, Bronxville, NY 10708-3403
Fax
—
Last updated
August 1, 2025

Boram Ku is a Physician Assistant based in Bronxville, NY. Boram Ku practices in Bronxville, NY and has the professional credentials of PA. The NPI Number for Boram Ku is 1235013541 and holds a License No. 032245 (NY). The current practice location address for Boram Ku is 55 Palmer Ave, Bronxville, NY 10708-3403 and can be reached out via phone at 914-787-1000.

Provider Profile Details

NPI Number
1235013541
Provider Name
Boram Ku
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
55 Palmer Ave, Bronxville, NY 10708-3403
Phone Number
914-787-1000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2025
Last Update Date
August 1, 2025
Certification Date
August 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Palmer Ave
Bronxville, NY 10708-3403
Zip
10708-3403
Phone Number
914-787-1000
Bronxville, NY 10708Get directions →

Provider Business Mailing Address Details

Address
1757 166TH St
Whitestone, NY 11357-3345
City
Whitestone
State
NY
Zip
11357-3345

License Information

License Number
032245
License State
NY
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boram Ku, PA?

The NPI number of Boram Ku, PA is 1235013541. It was assigned on August 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Boram Ku, PA?

Boram Ku, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 032245.

Where does Boram Ku, PA practice?

The practice location is 55 Palmer Ave, Bronxville, NY 10708-3403. The office can be reached at 914-787-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235013541 directly on the NPPES registry website.

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