Active NPI
Bongyong Choi
- Physical Therapist
- Little Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280 - Phone
- (347) 235-4742
- Fax
- (718) 691-4366
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280
Mailing address
24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280
Phone (909) 567-3870
Other practice location 1
3901 Main St Ste 310
Flushing, NY 11354-5434
Phone (917) 563-1373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571812731 | Other | NY | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24825 Northern Blvd
Suite 2B
Little Neck, NY 11362-1280
Phone (347) 235-4742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039509 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seoul Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Seoul Physical Therapy P.C | Physical Therapist | Current | Accepting new patients |
Locations
24825 Northern Blvd
Ste 2B
Little Neck, NY 11362
Phone (347) 235-4742
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Physical Therapy Clinic/Center
- Little Neck, NY
- NPI 1235849225
Physical Therapist
-
- Physical Therapy Clinic/Center
- Little Neck, NY
- NPI 1972166676
-
- Physical Therapist
- Little Neck, NY
- NPI 1871203125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1073076568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24825 NORTHERN BLVD STE 2B",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621280",
"telephone_number": "909-567-3870",
"fax_number": "718-691-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24825 NORTHERN BLVD STE 2B",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621280",
"telephone_number": "347-235-4742",
"fax_number": "718-691-4366"
}
],
"practiceLocations": [
{
"address_1": "3901 Main St Ste 310",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113545434",
"country_code": "US",
"telephone_number": "917-563-1373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "BONGYONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "571812731",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.