Individual provider Active NPI

Kyoungyi Choi, NP

  • Adult Health Nurse Practitioner
  • Huntington, NY
National Provider Identifier
1376313312
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311402-01 Issued in NY
Practice address
4 Endicott Dr
Huntington, NY 11743-3902
Phone
(631) 671-6996
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F311402-01 NY Primary

Addresses

Primary practice location

4 Endicott Dr
Huntington, NY 11743-3902

Mailing address

4 Endicott Dr
Huntington, NY 11743-3902
Phone (631) 671-6996

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812002331 NY Practitioner - Nurse Practitioner 5395283105 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F311402-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 5, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Dec 5, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 12, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 12, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 5, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 5, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 5, 2024 Accepting new patients

Locations

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

616 Castle Hill Ave
Ste A
Bronx, NY 10473

918 Pelham Pkwy S
Ste 1
Bronx, NY 10462

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

111 E 210th St
Bronx, NY 10467

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

1990 McGraw Ave
Ste A
Bronx, NY 10462

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

2742 3rd Ave
Ste A
Bronx, NY 10455

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 8

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1376313312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ENDICOTT DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433902",
            "telephone_number": "631-671-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ENDICOTT DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433902",
            "telephone_number": "631-671-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KYOUNGYI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311402-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.