Active NPI
Jinyoung Choe, OD
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008585-1
- Practice address
- 2769 Coney Island Ave Ste 3
Brooklyn, NY 11235-5051 - Phone
- (718) 676-6464
- NPI assigned
- Jun 30, 2017
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008585-1 | NY | Primary |
Addresses
Primary practice location
2769 Coney Island Ave Ste 3
Brooklyn, NY 11235-5051
Mailing address
2769 Coney Island Ave
Brooklyn, NY 11235-5061
Other practice location 1
200 Riverside Blvd Apt 18E
New York, NY 10069-0910
Phone (415) 730-2844
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Route 22
Springfield, NJ 07081-3554
Phone (973) 376-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008585-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehg NJ Service LLC | Optometrist | Current | Accepting new patients |
| Main Street Clinic, LLC | Past | Accepting new patients |
Locations
326 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9200
255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512
670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400
341 E State Rt 4
Paramus, NJ 07652
Phone (201) 489-4500
275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900
1278 Hooper Ave
Toms River, NJ 08753
Phone (732) 505-0533
360 US Highway 46
Totowa, NJ 07512
Phone (973) 785-0900
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.
-
- Optometrist
- Springfield, NJ
- NPI 1285222877
-
- Pediatrics Physician
- Pell City, AL
- NPI 1740895291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922529833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2769 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 CONEY ISLAND AVE STE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355051",
"telephone_number": "718-676-6464"
}
],
"practiceLocations": [
{
"address_1": "200 Riverside Blvd Apt 18E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100690910",
"country_code": "US",
"telephone_number": "415-730-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOE",
"first_name": "JINYOUNG",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008585-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.