Individual provider Active NPI

Soon Chae Choi, MD

  • Orthopaedic Surgery Physician
  • South Plainfield, NJ
National Provider Identifier
1699778464
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA26812 Issued in NJ
Practice address
1907 Park Ave
Ste 102
South Plainfield, NJ 07080-5530
Phone
(908) 561-2122
Fax
(908) 561-7582
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA26812 NJ Primary

Addresses

Primary practice location

1907 Park Ave
Ste 102
South Plainfield, NJ 07080-5530

Mailing address

1907 Park Ave
Suite102
South Plainfield, NJ 07080-5530
Phone (908) 561-2122

Other identifiers 1

IdentifierTypeStateIssuer
2197502MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA26812NJMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1699778464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "address_2": "SUITE102",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "908-561-2122",
            "fax_number": "908-561-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "address_2": "STE 102",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "908-561-2122",
            "fax_number": "908-561-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SOON",
        "middle_name": "CHAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA26812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.