Choong Yul Cho, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

121403 Issued in NY

Practice address

1162 Carlls Straight Path
Dix Hills, NY 11746-8017

Phone

(631) 667-4200

Fax

(631) 667-4243

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

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

Specialty

PsychiatryAlso: Addiction Medicine, Neurology, Neuropsychiatry

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kevin J Cho MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Brooklyn, NY
  • NPI 1396166054
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1417947664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CARLLS STRAIGHT PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468017",
            "telephone_number": "631-667-4200",
            "fax_number": "631-667-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CARLLS STRAIGHT PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468017",
            "telephone_number": "631-667-4200",
            "fax_number": "631-667-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "CHOONG",
        "middle_name": "YUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "121403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00696268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fi Cheng, RN
• Christine Cheshire, LCSW
• Abby Chibnik
• Maria Chieco
• Obiamaka Chiegborom, MD
• Carol Chorney, MS
• Lauren Chorney, PH.D.
• Michael Elliot Chorney, M.S.
• Richard Cito, R.N.
• Nicole E Clancy, M.S.,M.S.ED.,CCC-SLP

• Psychiatry Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.