Active NPI
Jea Keun Choi, M.D.
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1245279348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA56694
- Practice address
- 550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326 - Phone
- (201) 222-8288
- Fax
- (201) 222-8265
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA56694 | NJ | Primary |
Addresses
Primary practice location
550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326
Mailing address
550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326
Phone (201) 222-8288
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1094921 | Other | UNITED HEALTHCARE | |
| 1453618-001 | Other | CIGNA HMO | |
| 818180 | Other | COMED HMO | |
| HP063 | Other | OXFORD | |
| 5173809 | Medicaid | NJ | |
| 4121011 | Other | CIGNA | |
| 140137 | Other | US HEALTHCARE | |
| 2501688 | Other | GHI | |
| 10G451 | Other | EMPIRE BCBS | |
| 4226989 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56694 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients |
Interoperability endpoints
- jea.choi@direct.christhospital.md
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.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1245279348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 302",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-222-8288",
"fax_number": "201-222-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 302",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-222-8288",
"fax_number": "201-222-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JEA",
"middle_name": "KEUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA56694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1094921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "1453618-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMED HMO",
"identifier": "818180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "HP063",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5173809",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4121011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "140137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2501688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "10G451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4226989",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.