Individual provider Active NPI

Jinhoon Choe, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1801903992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
127008 Issued in NY
Practice address
120 1 Elgar PL
Bronx, NY 10475-5103
Phone
(718) 671-6660
Fax
(718) 671-6660
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 127008 NY Primary

Addresses

Primary practice location

120 1 Elgar PL
Bronx, NY 10475-5103

Mailing address

17 Rest Ave
Ardsley, NY 10502
Phone (914) 693-7914

Other identifiers 1

IdentifierTypeStateIssuer
00236815MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070917000559 NY Practitioner - Addiction Medicine 1658465018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127008NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester, Inc CurrentSince Jul 19, 1999 Accepting new patients
The Guidance Center of Westchester PastSince May 16, 2021 Accepting new patients

Locations

256 Washington St
Mount Vernon, NY 10553
Phone (914) 297-3356

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801903992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 REST AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-7914",
            "fax_number": "914-693-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1 ELGAR PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755103",
            "telephone_number": "718-671-6660",
            "fax_number": "718-671-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JINHOON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "127008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00236815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.