Active NPI
Sang Il Choi, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1023100740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 143846
- Practice address
- 2271 Grand Ave
Bronx, NY 10468-6905 - Phone
- (718) 584-2887
- Fax
- (718) 733-3874
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 143846 | NY | Primary |
Addresses
Primary practice location
2271 Grand Ave
Bronx, NY 10468-6905
Mailing address
379 Windsor Rd
Englewood, NJ 07631-1424
Phone (201) 503-0434
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108907 | Other | NY | WELL CARE |
| 143846-B19 | Other | NY | HEALTH FIRST |
| 040426024410 | Other | NY | FIDELIS |
| 143846 | Other | NY | HIP |
| P469881 | Other | NY | OXFORD |
| 00590987 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143846 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023100740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 WINDSOR RD",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311424",
"telephone_number": "201-503-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 GRAND AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686905",
"telephone_number": "718-584-2887",
"fax_number": "718-733-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SANG",
"middle_name": "IL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "143846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE",
"identifier": "108907",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "143846-B19",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426024410",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "143846",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P469881",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00590987",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.