Individual provider Active NPI

Seong Choe, FNP

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1710364286
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338883-1 Issued in NY
Practice address
3514 150TH PL FL 2
Flushing, NY 11354-4941
Phone
(607) 875-2140
Fax
(607) 875-2142
NPI assigned
May 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 612746-1 NY
Family Nurse Practitioner 363LF0000X F338883-1 NY Primary

Addresses

Primary practice location

3514 150TH PL FL 2
Flushing, NY 11354-4941

Mailing address

3514 150TH PL FL 2
Flushing, NY 11354-4941
Phone (607) 875-2140

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
I20150918001620 NY Practitioner - Nurse Practitioner 5294042586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 -15 Northern Blvd
2ND FL Unite 110
Flushing, NY 11358-1656
Phone (917) 717-0403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
612746-1NYMDRegistered Nurse
F338883-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choe Seong Joo Family Health NP PC Family CurrentSince Mar 1, 2023 Accepting new patients
R.G. Medical, PC Past Accepting new patients

Locations

15915 Northern Blvd
Ste 110
Flushing, NY 11358
Phone (917) 717-0403

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1710364286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 150TH PL FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544941",
            "telephone_number": "607-875-2140",
            "fax_number": "607-875-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 150TH PL FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544941",
            "telephone_number": "607-875-2140",
            "fax_number": "607-875-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "SEONG",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612746-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.