Active NPI
Myunho Cho Im, M.D.
- Obstetrics & Gynecology Physician
- Whitestone, NY
National Provider Identifier
1750704839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 153413
- Practice address
- 2-40, 149TH Place
Whitestone, NY 11357 - Phone
- (718) 747-3702
- Fax
- (718) 747-3702
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 153413 | NY | Primary |
Addresses
Primary practice location
2-40, 149TH Place
Whitestone, NY 11357
Mailing address
34 West Ruby Ave Unit B
Palisades Park, NJ 07650
Phone (718) 747-3702
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153413 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1750704839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WEST RUBY AVE UNIT B",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "07650",
"telephone_number": "718-747-3702",
"fax_number": "718-747-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-40, 149TH PLACE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "11357",
"telephone_number": "718-747-3702",
"fax_number": "718-747-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IM",
"first_name": "MYUNHO",
"middle_name": "CHO",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "153413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.