Ellie Oksong Choe, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003561 Issued in NY

Practice address

3930 Richmond Ave Ste 200
Staten Island, NY 10312-5103

Phone

(646) 483-6564

NPI assigned

Jul 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Oksong Ellie Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Zone Acupuncture PLLC

  • Acupuncturist
  • Staten Island, NY
  • NPI 1679049803
  NPD Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1356571517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125103",
            "telephone_number": "646-483-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125103",
            "telephone_number": "646-483-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "ELLIE",
        "middle_name": "OKSONG",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00080700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3561",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OKSONG",
            "last_name": "KIM",
            "middle_name": "ELLIE",
            "credential": "LAC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen Cho
• Bomi Cho, RN
• Hyun Joon Cho, MD
• Rachel Yeonwoo Cho
• Brittany Choe
• James Dongwhoon Choe, MD
• Joon Weon Choe
• Sang Choe
• Teresa Myongeun Choe, MD
• Dawa Choedon

• Acupuncturist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.