Individual provider Active NPI

Jong Won Choi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1740634542
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006966 Issued in NY
Practice address
614 Grand St
Brooklyn, NY 11211-4802
Phone
(347) 997-0485
Fax
(718) 599-3366
NPI assigned
Apr 18, 2016
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006966 NY Primary

Addresses

Primary practice location

614 Grand St
Brooklyn, NY 11211-4802

Mailing address

2 Rachel Ave
Commack, NY 11725-3310
Phone (347) 997-0485

Other practice location 1

301 E 21st St
New York, NY 10010-6505
Phone (347) 997-0485

Other practice location 2

3825 Parsons Blvd Ste 1G
Flushing, NY 11354-5839
Phone (347) 997-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190718002306 NY Practitioner - Podiatry 4688909252 Reassigns benefits to 1 organization
I20200803003286 NJ Practitioner - Podiatry 4688909252

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 Grand St
Brooklyn, NY 11211-4802
Phone (347) 924-3815

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue773
Removal of skin lesions2186
Removal of nail tissue1134
Removal or shaving of skin growth178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Podiatry PC Single Specialty CurrentSince Aug 20, 2018 Accepting new patients
Nys Podiatry PC Single Specialty CurrentSince Mar 7, 2021 Accepting new patients

Locations

4223 212th St
Ste 1A
Bayside, NY 11361
Phone (718) 224-6528

614 Grand St
Brooklyn, NY 11211
Phone (347) 924-3815

3825 Parsons Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 353-4100

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1740634542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RACHEL AVE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253310",
            "telephone_number": "347-997-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114802",
            "telephone_number": "347-997-0485",
            "fax_number": "718-599-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 21st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106505",
            "country_code": "US",
            "telephone_number": "347-997-0485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Parsons Blvd Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545839",
            "country_code": "US",
            "telephone_number": "347-997-0485",
            "fax_number": "718-599-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JONG WON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.