Individual provider Active NPI

Kyoung Choi, NP

  • Adult Health Nurse Practitioner
  • Ny, NY
National Provider Identifier
1104099837
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304242 Issued in NY
Practice address
462 First Ave
Bellevue Hospital Center
Ny, NY 11206
Phone
(212) 562-1720
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304242 NY Primary

Addresses

Primary practice location

462 First Ave
Bellevue Hospital Center
Ny, NY 11206

Mailing address

Bellevue Hospital Center
462 First Ave
New York, NY 10016-9196
Phone (212) 562-1720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207003229 TX Practitioner - Nurse Practitioner 9638347784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Clinical Group CurrentSince Oct 1, 2023 Accepting new patients

Locations

1682 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-5000

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

Interoperability endpoints

  • Direct secure messaging: kchoi673972@nychhc.direct-ci.com

Organizations & group practices 1

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1104099837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELLEVUE HOSPITAL CENTER",
            "address_2": "462 FIRST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 FIRST AVE",
            "address_2": "BELLEVUE HOSPITAL CENTER",
            "city": "NY",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "212-562-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KYOUNG",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.