Individual provider Active NPI

Hyun Ji Choi, NP

  • Adult Health Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1508259722
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307609 Issued in NY
Practice address
3530 64TH St
Woodside, NY 11377-2354
Phone
(917) 302-6606
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 F307609 NY Primary

Addresses

Primary practice location

3530 64TH St
Woodside, NY 11377-2354

Mailing address

18203A 58TH Ave
Fresh Meadows, NY 11365-2206
Phone (917) 302-6606

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
I20160518000951 NY Practitioner - Nurse Practitioner 4486943289 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F307609NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Getwell Med-Care PC CurrentSince Jan 17, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2019 Accepting new patients
Memorial Anesthesiology Group CurrentSince Mar 16, 2022 Accepting new patients
Omni Medical Group PLLC Past Accepting new patients

Locations

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

3530 64th St
Woodside, NY 11377
Phone (347) 642-9066

6417 Broadway
Woodside, NY 11377
Phone (718) 424-5797

6413 Broadway
Woodside, NY 11377
Phone (718) 205-6561

Organizations & group practices 6

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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1508259722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18203A 58TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652206",
            "telephone_number": "917-302-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 64TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772354",
            "telephone_number": "917-302-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HYUN JI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.