Individual provider Active NPI

Seung-Hee Choi, O.D.

  • Optometrist
  • Palisades Park, NJ
National Provider Identifier
1043476633
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007313-1 Issued in NY
Practice address
540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone
(201) 461-3970
NPI assigned
Aug 3, 2008
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00616100 NJ
Optometrist 152W00000X TUV007313-1 NY Primary

Addresses

Primary practice location

540 Bergen Blvd
Palisades Park, NJ 07650-2322

Mailing address

540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone (201) 461-3970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schoi@stmarys.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090528000353 NY Practitioner - Optometry 6608925326 Reassigns benefits to 1 organization
I20090603000423 NJ Practitioner - Optometry 6608925326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Kim MD Total Eye Care PCGroup PAC ID 3870480890, 5 clinicians
Daniel Y Kim MD PAGroup PAC ID 8628047545, 5 clinicians

Practice addresses (Care Compare)

13633 37TH Ave
Suite 4C
Flushing, NY 11354-4562
Phone (718) 661-3800

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 661-3800

540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone (201) 461-3970

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00616100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Y. Kim, M.D., P.a. CurrentSince Mar 19, 2012 Accepting new patients
Daniel Kim, M.D., Total Eye Care, P.C. CurrentSince Mar 19, 2012 Accepting new patients
Ayman Z. Matta, M.D., P.C. Past Accepting new patients
Professional Eyecare Associates PA Optometrist PastSince May 1, 2024 Accepting new patients

Locations

540 Bergen Blvd
Palisades Pk, NJ 07650
Phone (201) 461-3970

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19757/brand/2/csg/1/fhir/r4
  • Direct secure messaging: schoi@stmarys.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1043476633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SEUNG-HEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00616100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007313-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schoi@stmarys.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "540 Bergen Blvd",
            "city": "Palisades Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076502322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

Verify at the official NPI Registry.