Individual provider Active NPI

Justin Chin-Bong Choi, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1306167622
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
317439 Issued in NY
Practice address
450 Clarkson Ave # Msc40
Brooklyn, NY 11203-2012
Phone
(718) 270-1981
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 317439 NY Primary

Addresses

Primary practice location

450 Clarkson Ave # Msc40
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave # Msc40
Brooklyn, NY 11203-2012
Phone (718) 270-1981

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
I20230110002453 NY Practitioner - Vascular Surgery 9032589981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Baylor College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLC 44 clinicians
University Physicians of Brooklyn, Inc. 174 clinicians

Practice addresses (Care Compare)

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1422

450 Clarkson Ave
Brooklyn, NY 11203-2098

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317439NYMDVascular Surgery Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Surgery CurrentSince Oct 15, 2023 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Sep 10, 2024 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Oct 15, 2023 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Sep 23, 2022 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Sep 23, 2022 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Sep 10, 2024 Accepting new patients
University Physicians of Brooklyn, Inc PastSince Mar 24, 2024 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

450 Clarkson Ave
#40
Brooklyn, NY 11203
Phone (718) 270-1421

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: justin.choi.1@438.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1306167622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # MSC40",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # MSC40",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JUSTIN",
        "middle_name": "CHIN-BONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "317439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.