Active NPI
Samuel Cho, M.D., P.C.
- Gastroenterology Physician
- Flushing, NY
National Provider Identifier
1598954489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 187204
- Legal business name
- SAMUEL CHO, M.D., P.C.
- Practice address
- 15011 Northern Blvd
Flushing, NY 11354-3893 - Phone
- (718) 460-9640
- Fax
- (718) 460-1451
- NPI assigned
- Oct 17, 2007
- Last updated
- Dec 16, 2014
- 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. Samuel Cho, M.D.
- Title
- President
- Phone
- (718) 460-9640
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 187204 | NY | Primary |
Addresses
Primary practice location
15011 Northern Blvd
Flushing, NY 11354-3893
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1801839501
-
- Anatomic Pathology & Clinical Pathology Physician
- Toms River, NJ
- NPI 1518917178
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418688000000",
"number": "1598954489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2035",
"fax_number": "631-264-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15011 NORTHERN BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543893",
"telephone_number": "718-460-9640",
"fax_number": "718-460-1451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL CHO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2014-12-16",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-460-9640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "187204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.