Octavio Choy, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

017790 Issued in CT

Practice address

56 Quarry Rd
Attn: Brenda Sholomicky
Trumbull, CT 06611-4874

Phone

(203) 696-3668

NPI assigned

Sep 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Radiology MRI Centers LP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Shelton, CT
  • NPI 1003820911
  NPD (past)
• Bridgeport Radiological Associates LLC

  dba Advanced Radiology Consultants

  • Diagnostic Radiology Physician
  • Shelton, CT
  • NPI 1962488981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033105184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 QUARRY RD",
            "address_2": "ATTN: BRENDA SHOLOMICKY",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114874",
            "telephone_number": "203-696-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 QUARRY RD",
            "address_2": "ATTN: BRENDA SHOLOMICKY",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114874",
            "telephone_number": "203-696-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOY",
        "first_name": "OCTAVIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "017790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001177906",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Nicole Chille, RD
• Camille M Chistoni
• Choice Manual Therapy LLC
• Maryann Chomiak, P.A.
• Ronika Dua Choudhary, MD
• Ashley Rachelle Christensen, D.O.
• Ayanna Johnese Christian
• Michelle Lynne Ciccarelli, OTR/L
• Cara Elizabeth Cifarelli, RPH
• Frank Angelo Ciminiello, MD

• Specialist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Specialist in Connecticut

• 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.

Verify at the official NPI Registry.