NPIMap

Organization Active NPI

Tae Sik Choi MD PC

Doing business as massena obgyn group

  • Obstetrics & Gynecology Physician
  • Massena, NY
National Provider Identifier
1922038116
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TAE SIK CHOI MD PC
Doing business as
massena obgyn group
Practice address
22 Center St
Massena, NY 13662-1437
Phone
(315) 764-0265
Fax
(315) 764-1812
NPI assigned
Jul 3, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Janice C
Title
Office Manager
Phone
(315) 764-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

22 Center St
Massena, NY 13662-1437

Mailing address

22 Center St
PO Box 111
Massena, NY 13662-1437

Other identifiers 1

IdentifierTypeStateIssuer
01790216MedicaidNY

Other names 1

  • massena obgyn group Doing business as

National Provider Directory

National Provider Directory

Locations

22 Center St
Massena, NY 13662
Phone (315) 764-0265

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1922038116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CENTER ST",
            "address_2": "PO BOX 111",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621437",
            "fax_number": "315-764-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CENTER ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621437",
            "telephone_number": "315-764-0265",
            "fax_number": "315-764-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE SIK CHOI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "C",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-764-0265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01790216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "massena obgyn group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.