Individual provider Active NPI

Sun-Jung Choi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1780091660
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00580100 Issued in NJ
Practice address
260 Union St
Hackensack, NJ 07601-4203
Phone
(973) 419-2824
NPI assigned
Jul 12, 2014
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401777-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00580100 NJ Primary

Addresses

Primary practice location

260 Union St
Hackensack, NJ 07601-4203

Mailing address

260 Union St
Hackensack, NJ 07601-4203
Phone (973) 419-2824

Other practice location 1

800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 763-8151 ext. 2637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00580100NJMDPsychiatric/Mental Health Nurse Practitioner
F401777-1NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1780091660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 UNION ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014203",
            "telephone_number": "973-419-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 UNION ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014203",
            "telephone_number": "973-419-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cross River Rd",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "105363549",
            "country_code": "US",
            "telephone_number": "914-763-8151 x2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUN-JUNG",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401777-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00580100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.