Active NPI
Jennifer Choo, PA-C
- Physician Assistant
- Cary, NC
National Provider Identifier
1750013405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 135 Cary Parkway Office Court
Suite 201
Cary, NC 27518-7425 - Phone
- (919) 476-1118
- Fax
- (855) 878-6037
- NPI assigned
- Jun 29, 2022
- Last updated
- Oct 10, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Pediatric Dermatology Physician | 207NP0225X | 0010-13561 | NC |
Addresses
Primary practice location
135 Cary Parkway Office Court
Suite 201
Cary, NC 27518-7425
Mailing address
135 Parkway Office CT Ste 201
Cary, NC 27518-7425
Phone (919) 476-1118
Other names 1
- Jennifer Cao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-13561 | NC | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burkhart Pediatric & Adolescent Dermatology PLLC | Pediatric Dermatology | Current | Accepting new patients |
Locations
135 Parkway Office Ct
Ste 201
Cary, NC 27518
Phone (919) 476-1118
Interoperability endpoints
- https://api.platform.athenahealth.com/20521/brand/1/csg/1/fhir/r4
- jennifer.choo.1@20521.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatric Dermatology Physician
- Cary, NC
- NPI 1073155032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1750013405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 PARKWAY OFFICE CT STE 201",
"city": "CARY",
"state": "NC",
"postal_code": "275187425",
"telephone_number": "919-476-1118",
"fax_number": "855-878-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 CARY PARKWAY OFFICE COURT",
"address_2": "SUITE 201",
"city": "CARY",
"state": "NC",
"postal_code": "275187425",
"telephone_number": "919-476-1118",
"fax_number": "855-878-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOO",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2023-10-10",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "NC",
"license": "0010-13561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CAO",
"credential": "JENNIFER CAO PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cary, NC
- Chiropractic Plus Pain to Wellness Center PLLC (Chiropractic Plus)
- Chiropractic Wellness Center of Cary, PLLC
- Ananta Lakshmi Manasa Chitluri, MED
- Candace Richardson Chitsaz, FNP
- Teebok Daesung Choe, DDS, MS
- Aarushi Chopra, MD
- Man-Wai Kristie Chow, PHARMD
- Naomi Chowdhury
- Madeline Christensen
- Julia Christian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.