Individual provider Active NPI

Eun Choi

  • Adult Health Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1700140217
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00384200 Issued in NJ
Practice address
46 Duke Dr
Paramus, NJ 07652-4320
Phone
(201) 899-3411
Fax
(201) 845-8775
NPI assigned
Jun 28, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 26NJ00384200 NJ Primary

Addresses

Primary practice location

46 Duke Dr
Paramus, NJ 07652-4320

Mailing address

46 Duke Dr
Paramus, NJ 07652-4320
Phone (201) 899-3411

Other identifiers 1

IdentifierTypeStateIssuer
0320382MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000396 NJ Practitioner - Nurse Practitioner 1658522651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Bridgecare Provider Group LLCGroup PAC ID 8123498193, 7 clinicians

Practice addresses (Care Compare)

200 Grand Ave
Suite 203
Englewood, NJ 07631-4363
Phone (201) 944-3115

493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone (973) 692-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00384200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Dec 1, 2023 Accepting new patients
New Jersey Rehab Pain Clinic PC PastSince Mar 9, 2015 Accepting new patients
Freeman Pain Institute PA Past Accepting new patients

Locations

596 Anderson Ave
Ste 108
Cliffside Pk, NJ 07010
Phone (201) 840-5888

200 Grand Ave
Ste 203
Englewood, NJ 07631
Phone (201) 710-2768

370 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 567-3370

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

777 Terrace Ave
Ste 403
Hasbrouck Heights, NJ 07604
Phone (201) 288-7246

100 McClellen St
Norwood, NJ 07648
Phone (201) 767-0100

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700140217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DUKE DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524320",
            "telephone_number": "201-899-3411",
            "fax_number": "201-845-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DUKE DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524320",
            "telephone_number": "201-899-3411",
            "fax_number": "201-845-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "EUN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00384200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320382",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.