Active NPI
Seong Choe, FNP
- Family Nurse Practitioner
- Flushing, NY
National Provider Identifier
1710364286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338883-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 612746-1 | NY | MD | Registered Nurse |
| F338883-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choe Seong Joo Family Health NP PC | Family | Current | 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.
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1962104455
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.