Kwang Joon Choi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME57578 Issued in FL

Practice address

245 N Causeway
New Smyrna Beach, FL 32169

Phone

(386) 426-5800

Fax

(386) 426-1416

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376550046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-426-5800",
            "fax_number": "386-426-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-426-5800",
            "fax_number": "386-426-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KWANG JOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME57578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151573600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Raymond Chase, DMD
• Megan Cherubino, DO
• Lori Ann Child, OTR
• Stacey A Chisholm, L.M.T.
• Dae Sung Choi, MD
• Michael J Christian
• Christine B. Bailey, PH.D., PC (The Neuropsychology Clinic)
• Christopher Chien D. Mai, MD,PA
• Clifford C. Chu, M.D.
• Church Parish Nurse Ministries

• Pediatrics Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.