Active NPI
Hudson Internal Medicine, PA
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1497066476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05669400
- Legal business name
- HUDSON INTERNAL MEDICINE, PA
- Practice address
- 550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326 - Phone
- (201) 222-8288
- Fax
- (201) 222-8265
- NPI assigned
- Jun 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jea Keun Choi, M.D.
- Title
- Owner/President
- Phone
- (201) 222-8288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05669400 | NJ | Primary |
Addresses
Primary practice location
550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326
Mailing address
550 Newark Ave
Suite 302
Jersey City, NJ 07306-1326
Phone (201) 222-8288
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1453618-001 | Other | CIGNA HMO | |
| 5173809 | Medicaid | NJ | |
| 4226989 | Other | AETNA | |
| 110147933 | Other | PALMETTO GBA - RAILROAD MEDICARE | |
| 2501688 | Other | GHI | |
| 4121011 | Other | CIGNA | |
| J1904 | Other | HORIZON BCBS - NJ | |
| 10G451 | Other | EMPIRE BCBS | |
| 140137 | Other | US HEALTHCARE | |
| 691768 | Other | NJ | MEDICARE - LEGACY # |
| 392388 | Other | WELLCARE | |
| 1094921 | Other | UNITED HEALTHCARE | |
| HP063 | Other | OXFORD |
National Provider Directory
National Provider DirectoryLocations
550 Newark Ave
Ste 302
Jersey City, NJ 07306
Phone (201) 222-8288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277337600000",
"number": "1497066476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 302",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-222-8288",
"fax_number": "201-222-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 302",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-222-8288",
"fax_number": "201-222-8265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON INTERNAL MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "JEA KEUN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "201-222-8288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05669400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "1453618-001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5173809",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4226989",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "110147933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2501688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4121011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS - NJ",
"identifier": "J1904",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "10G451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "140137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - LEGACY #",
"identifier": "691768",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "392388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1094921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "HP063",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.