Individual provider Active NPI

Chloe Eunsung Choi, NP

  • Family Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1205336559
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
688672 Issued in NY
Practice address
3530 64TH St
Woodside, NY 11377-2354
Phone
(718) 205-6561
Fax
(718) 205-4815
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 688672 NY Primary

Addresses

Primary practice location

3530 64TH St
Woodside, NY 11377-2354

Mailing address

3530 64TH St
Woodside, NY 11377-2354
Phone (718) 205-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210119001754 NY Practitioner - Nurse Practitioner 9638582372 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
688672NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Getwell Med-Care PC Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
Omni Medical Group PLLC Past Accepting new patients

Locations

3530 64th St
Woodside, NY 11377
Phone (347) 642-9066

6417 Broadway
Woodside, NY 11377
Phone (718) 424-5797

6413 Broadway
Woodside, NY 11377
Phone (718) 205-6561

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1205336559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "718-205-6561",
            "fax_number": "718-205-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "718-205-6561",
            "fax_number": "718-205-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHLOE",
        "middle_name": "EUNSUNG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "688672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.