Individual provider Active NPI

Hyeran Choi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1144917790
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F40488401 Issued in NY
Practice address
42-16 162ND St.
2ND Floor
New York, NY 11358
Phone
(718) 366-9540
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 98752 HI
Registered Nurse 163W00000X 873348 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F40488401 NY Primary

Addresses

Primary practice location

42-16 162ND St.
2ND Floor
New York, NY 11358

Mailing address

403 Ponanonano Aly
Honolulu, HI 96818-5952
Phone (603) 359-1206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001047 HI Practitioner - Nurse Practitioner 6103275359 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98752HIMDRegistered Nurse
873348NYMDRegistered Nurse
F40488401NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
We Prescribe Inc CurrentSince Jan 1, 2024 Accepting new patients
Jeremy Creekmore, LLC Psychiatric/Mental Health CurrentSince Sep 2, 2025 Accepting new patients
Korean Community Services of Metropolitan New York, Inc. CurrentSince Apr 23, 2023 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277

98-1247 Kaahumanu St
Ste 106
Aiea, HI 96701
Phone (808) 486-1500

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Interoperability endpoints

  • Direct secure messaging: hyeran.choi@866342983172100.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1144917790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PONANONANO ALY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185952",
            "telephone_number": "603-359-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-16 162ND ST.",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-366-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HYERAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "98752",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "873348",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F40488401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.