Individual provider Active NPI

James Choi, MD, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
National Provider Identifier
1043638158
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
303939 Issued in NY
Practice address
531 Park Ave
New York, NY 10065-8198
Phone
(212) 339-3930
Fax
(212) 339-3930
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02998000 NJ
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 303939 NY Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 061006 NY
Surgery Physician 208600000X 303939 NY

Addresses

Primary practice location

531 Park Ave
New York, NY 10065-8198

Mailing address

531 Park Ave
New York, NY 10065-8198
Phone (212) 339-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908003377 NY Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5193143154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22DI02998000NJMDOral and Maxillofacial Surgery (Dentist)
303939NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Oral, Maxillofacial, Implant Surgery, PLLC CurrentSince Nov 12, 2023 Accepting new patients
Long Island Oral & Maxillofacial Surgery, PC Oral and Maxillofacial Surgery Current Accepting new patients
Long Island Oral & Maxillofacial Surgery, PC Oral and Maxillofacial Surgery CurrentSince Sep 1, 2020 Accepting new patients

Locations

134 Mineola Blvd
Ste 302
Mineola, NY 11501
Phone (516) 294-9696

134 Mineola Blvd
Fl 3
Mineola, NY 11501
Phone (516) 294-9696

121 E 60th St
Apt 7A
New York, NY 10022
Phone (212) 838-5859

14 Vanderventer Ave
Ste 260
Prt Washingtn, NY 11050
Phone (516) 783-2042

Interoperability endpoints

  • Direct secure messaging: jchoi270740@northwell.direct-ci.com
  • Direct secure messaging: jchoi376195@nyumc.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1043638158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658198",
            "telephone_number": "212-339-3930",
            "fax_number": "212-339-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658198",
            "telephone_number": "212-339-3930",
            "fax_number": "212-339-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JAMES",
        "credential": "MD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02998000",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "303939",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "061006",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "303939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.