Individual provider Active NPI

Young K. Choi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Edison, NJ
National Provider Identifier
1174564140
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MA 56781 Issued in NJ
Practice address
1581 Route 27, Unit 3
Edison, NJ 08817-3477
Phone
(732) 287-1990
Fax
(732) 287-1996
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MA 56781 NJ Primary

Addresses

Primary practice location

1581 Route 27, Unit 3
Edison, NJ 08817-3477

Mailing address

1581 Route 27, Unit 3
Edison, NJ 08817-3477
Phone (732) 287-1990

Other identifiers 1

IdentifierTypeStateIssuer
5418704MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000773 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 3870520984 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA 56781NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edison Rehabilitation & Acupuncture,P.C PastSince Dec 1, 2010 Accepting new patients
Young I. Lee MD PA Past Accepting new patients

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1174564140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27, UNIT 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477",
            "telephone_number": "732-287-1990",
            "fax_number": "732-287-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27, UNIT 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477",
            "telephone_number": "732-287-1990",
            "fax_number": "732-287-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "YOUNG",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA 56781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5418704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.