Individual provider Active NPI

Eric In Choe, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1275695595
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
180934-1 Issued in NY
Practice address
121 E 60TH St
Suite 2B
New York, NY 10022-1117
Phone
(212) 838-1212
Fax
(212) 838-1712
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 180934-1 NY Primary

Addresses

Primary practice location

121 E 60TH St
Suite 2B
New York, NY 10022-1117

Mailing address

121 E 60TH St
Suite 2B
New York, NY 10022-1117
Phone (212) 838-1212

Other identifiers 1

IdentifierTypeStateIssuer
01393071MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000374 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 7517252430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180934-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric in Choe, M.D., PLLC Plastic Surgery CurrentSince May 14, 2016 Accepting new patients
Eric I. Choe, MD Facs Plastic Surgery PastSince May 14, 2016 Accepting new patients

Locations

121 E 60th St
Apt 2B
New York, NY 10022
Phone (212) 838-1212

Interoperability endpoints

  • Direct secure messaging: echoe67950@northwell.direct-ci.com

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1275695595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-838-1212",
            "fax_number": "212-838-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "SUITE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-838-1212",
            "fax_number": "212-838-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "ERIC",
        "middle_name": "IN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "180934-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01393071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.