Individual provider Active NPI

Heejin Choi, D.D.S.

  • Pediatric Dentistry
  • Little Falls, NJ
National Provider Identifier
1922103969
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02373300 Issued in NJ
Practice address
1540 US Highway 46
Little Falls, NJ 07424-1852
Phone
(655) 097-3812
NPI assigned
Sep 14, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 051587 NY
Pediatric Dentistry 1223P0221X 22DI02373300 NJ Primary

Addresses

Primary practice location

1540 US Highway 46
Little Falls, NJ 07424-1852

Mailing address

2412 Windsor Park CT
Englewood, NJ 07631-4980
Phone (732) 703-2437

Other practice location 1

758 US Highway 46
Parsippany, NJ 07054-3401
Phone (973) 263-1770

Other identifiers 2

IdentifierTypeStateIssuer
02783562MedicaidNY
0281271MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000516 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072818194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051587NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1922103969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WINDSOR PARK CT",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314980",
            "telephone_number": "732-703-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 US HIGHWAY 46",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241852",
            "telephone_number": "655-097-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 US Highway 46",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070543401",
            "country_code": "US",
            "telephone_number": "973-263-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HEEJIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051587",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02373300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783562",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281271",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.