Jerry Choi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042715 Issued in PA

Practice address

2031 Hay Ter Ste 2
Easton, PA 18042-4651

Phone

(917) 365-8770

NPI assigned

Feb 4, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1053876136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WASHINGTON AVE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641545",
            "telephone_number": "917-365-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAY TER STE 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424651",
            "telephone_number": "917-365-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Stanwood Rd",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110403608",
            "country_code": "US",
            "telephone_number": "917-365-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Chen
• Leslie Walter Chernykh
• Natalie Chiarolanza, PAC
• Mary T Chicchi
• Kenneth Chiusano
• Chor Youth and Family Services, Inc.
• Matthew Chorney, M.D.
• Shivani Chudasama
• Charmaine Chuidian, PT
• Kevin Chung, O.D.

• General Practice Dentistry in Easton, PA
• Providers in Easton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.