Individual provider Active NPI

Seokkoon Cho, M.D.

  • Psychiatry Physician
  • Teaneck, NJ
National Provider Identifier
1740487628
Registry record updated Dec 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08334100 Issued in NJ
Practice address
121 Cedar LN
Suite 3D
Teaneck, NJ 07666-4457
Phone
(201) 562-4736
Fax
(201) 580-4321
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA08334100 NJ Primary

Addresses

Primary practice location

121 Cedar LN
Suite 3D
Teaneck, NJ 07666-4457

Mailing address

121 Cedar LN
Suite 3D
Teaneck, NJ 07666-4457
Phone (201) 562-4736

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
I20091014000443 NJ Practitioner - Psychiatry 3072659556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Cedar LN
3D
Teaneck, NJ 07666-4457
Phone (201) 562-4736

730 Broad St
Suite 3
Clifton, NJ 07013-1643
Phone (973) 487-8060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08334100NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanbit LLC, Psychiatry CurrentSince Jul 19, 2009 Accepting new patients
Center of Revitalizing Psychiatry, P.C. Psychiatry CurrentSince Feb 5, 2013 Accepting new patients

Locations

795 Main St
Hackensack, NJ 07601
Phone (201) 488-5161

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

121 Cedar Ln
Ste 3D
Teaneck, NJ 07666
Phone (201) 370-0116

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356825600000",
    "number": "1740487628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 3D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-562-4736",
            "fax_number": "201-580-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 3D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-562-4736",
            "fax_number": "201-580-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SEOKKOON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08334100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.