Individual provider Active NPI

Peter Choi, MD

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1689917312
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA11255800 Issued in NJ
Practice address
2600 Greenbush St
Lafayette, IN 47904-2477
Phone
(765) 448-8000
NPI assigned
Apr 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01078505A IN
Anesthesiology Physician 207L00000X 25MA11255800 NJ Primary

Addresses

Primary practice location

2600 Greenbush St
Lafayette, IN 47904-2477

Mailing address

PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000

Other practice location 1

185 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 972-4538

Other identifiers 2

IdentifierTypeStateIssuer
300002354MedicaidIN
000001083435OtherINANTHEM PROVIDER NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pchoi@direct.iuhealth.org
Direct Messaging Address PCHOI@DIRECT.IUHEALTH.ORG

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
I20220317000498 NJ Practitioner - Anesthesiology 1052688256 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians
Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite G02
Paramus, NJ 07652-2359
Phone (516) 616-5500

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11255800NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Anesthesiology, P.a. Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Premier Bariatric New Jersey PC CurrentSince Dec 1, 2024 Accepting new patients
Ambulatory Center for Endoscopy, LLC CurrentSince Aug 5, 2024 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Jun 22, 2022 Accepting new patients
Ambulatory Center for Endoscopy, LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900

9226 Kennedy Blvd
Unit A
North Bergen, NJ 07047
Phone (201) 295-0900

7600 River Rd
Fl 4
North Bergen, NJ 07047
Phone (201) 295-4805

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1680 Route 23
Wayne, NJ 07470
Phone (973) 305-1400

225 Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-2800

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

Interoperability endpoints

  • Direct secure messaging: pchoi@direct.iuhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1689917312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035545",
            "telephone_number": "765-448-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042477",
            "telephone_number": "765-448-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01078505A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11255800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300002354",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001083435",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pchoi@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2600 Greenbush St",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PCHOI@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "2600 Greenbush St",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.