Colorectal Care of New Jersey LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

COLORECTAL CARE OF NEW JERSEY LLC

Practice address

1625 Anderson Ave Ste 203
Fort Lee, NJ 07024-2748

Phone

(551) 321-1388

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Karmina Choi, MDNPI 1114223682

Title

Owner

Phone

(551) 321-1388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Karmina Choi, MD

  • Colon & Rectal Surgery Physician
  • Fort Lee, NJ
  • NPI 1114223682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1225724248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "551-321-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL CARE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KARMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-321-1388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Cluney, APN
• CNP Procare, Inc.
• David Z Cohain, D.D.S.
• Maryanne Jaqueline Colenda, MD
• Pamela Colon, MS
• Comfort Dental Clinic, LLC
• Community Counseling Services of Northern New Jersey
• Community Physical Therapists
• Dana C Compton, DMD
• Kristin A Concepcion, MD

• Colon & Rectal Surgery Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Colon & Rectal Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.