Individual provider Active NPI

Catherine Helen Choi, MD, PHD

  • Dermatology Physician
  • Moorestown, NJ
National Provider Identifier
1467689018
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA09511200 Issued in NJ
Practice address
110 Marter Ave Ste 501
Moorestown, NJ 08057-3120
Phone
(856) 724-2693
Fax
(856) 724-2673
NPI assigned
Jun 22, 2009
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA09511200 NJ Primary

Addresses

Primary practice location

110 Marter Ave Ste 501
Moorestown, NJ 08057-3120

Mailing address

110 Marter Ave Ste 501
Moorestown, NJ 08057-3120
Phone (856) 724-2693

Other identifiers 2

IdentifierTypeStateIssuer
25MA09511200OtherNJSTATE LICENSE
1467689018OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20140815000707 NJ Practitioner - Dermatology 8123262060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Marter Ave
Suite 501
Moorestown, NJ 08057-3120
Phone (856) 206-0158

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions354
Removal or shaving of skin growth1-10
Skin biopsy325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology, P.C. Dermatology CurrentSince Jul 1, 2014 Accepting new patients
CCM Dermatology LLC Dermatology CurrentSince Jan 18, 2021 Accepting new patients

Locations

110 Marter Ave
Ste 501
Moorestown, NJ 08057
Phone (856) 206-0158

570 Egg Harbor Rd
Ste C1
Sewell, NJ 08080
Phone (856) 218-0300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1467689018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 501",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573120",
            "telephone_number": "856-724-2693",
            "fax_number": "856-724-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 501",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573120",
            "telephone_number": "856-724-2693",
            "fax_number": "856-724-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CATHERINE",
        "middle_name": "HELEN",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09511200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA09511200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467689018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.