NPIMap

Organization Active NPI

David S Cho, MD, PLLC

  • Internal Medicine Physician
  • Hyde Park, NY
National Provider Identifier
1083659627
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209674 Issued in NY
Legal business name
DAVID S CHO, MD, PLLC
Practice address
4 Crumwold PL
Hyde Park, NY 12538-1107
Phone
(845) 229-2123
Fax
(845) 229-6313
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. David S Cho, MDNPI 1033103445
Title
Owner
Phone
(845) 229-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 209674 NY Primary

Addresses

Primary practice location

4 Crumwold PL
Hyde Park, NY 12538-1107

Mailing address

4 Crumwold PL
Hyde Park, NY 12538-1107
Phone (845) 229-2123

Other identifiers 1

IdentifierTypeStateIssuer
02105517MedicaidNY

National Provider Directory

National Provider Directory

Locations

4 Crumwold Pl
Hyde Park, NY 12538
Phone (845) 229-2123

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1083659627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRUMWOLD PL",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381107",
            "telephone_number": "845-229-2123",
            "fax_number": "845-229-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CRUMWOLD PL",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381107",
            "telephone_number": "845-229-2123",
            "fax_number": "845-229-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S CHO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-229-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.