Active NPI
David Choohyun Paik, M.D.
- Surgical Critical Care Physician
- Philadelphia, PA
National Provider Identifier
1053469544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MD051898L
- Practice address
- 1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563 - Phone
- (215) 955-6750
- Fax
- (215) 923-8222
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 191292 | NY | |
| Surgery Physician | 208600000X | 191292 | NY | |
| Hospitalist Physician | 208M00000X | 191292 | NY | |
| Surgical Critical Care Physician | 2086S0102X | MD051898L | PA | Primary |
Addresses
Primary practice location
1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563
Mailing address
615 Chestnut St
14TH Floor
Philadelphia, PA 19106-4404
Phone (215) 955-6750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251151 | Medicaid | NJ | |
| 01765484 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051899L | PA | MD | Cardiovascular Disease Physician |
| 191292 | NY | MD | Surgery Physician |
| MD051898L | PA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Emergency Medicine | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Interoperability endpoints
- dpaik1280932@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1073524369
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1053469544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT ST",
"address_2": "14TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064404",
"telephone_number": "215-955-6750",
"fax_number": "215-923-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075563",
"telephone_number": "215-955-6750",
"fax_number": "215-923-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "DAVID",
"middle_name": "CHOOHYUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "191292",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "191292",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "191292",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "PA",
"license": "MD051898L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0251151",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01765484",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.