Organization Active NPI

New York Spine Medicine and Surgery PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Ronkonkoma, NY
National Provider Identifier
1346837226
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
NEW YORK SPINE MEDICINE AND SURGERY PLLC
Practice address
640 Hawkins Ave
Ronkonkoma, NY 11779-2324
Phone
(631) 730-7970
Fax
(631) 730-7969
NPI assigned
Dec 28, 2020
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Daniel Choi, MDNPI 1225337595
Title
Owner
Phone
(626) 975-7706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

640 Hawkins Ave
Ronkonkoma, NY 11779-2324

Mailing address

PO Box 52463
Phoenix, AZ 85072-2463
Phone (631) 730-7970

Other practice location 1

700 Stewart Ave Ste 10
Garden City, NY 11530-4721
Phone (631) 730-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210126002620 NY Part B Supplier - Clinic/Group Practice 0941614341 Receives reassigned benefits from 10 practitioners
Practice locations: Garden City, NY; Patchogue, NY; Ronkonkoma, NY
O20241003003026 NJ Part B Supplier - Clinic/Group Practice 0941614341 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

700 Stewart Ave
Ste 10
Garden City, NY 11530
Phone (631) 730-7970

700 Stewart Ave
Ste 203
Garden City, NY 11530
Phone (631) 730-7970

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1346837226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52463",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722463",
            "telephone_number": "631-730-7970",
            "fax_number": "631-730-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792324",
            "telephone_number": "631-730-7970",
            "fax_number": "631-730-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Stewart Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304721",
            "country_code": "US",
            "telephone_number": "631-730-7970",
            "fax_number": "631-730-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK SPINE MEDICINE AND SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-975-7706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.