Individual provider Active NPI

Jinyoung Choe, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1922529833
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008585-1 Issued in NY
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712001179 NJ Practitioner - Optometry 9739454406 Reassigns benefits to 1 organization

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
Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

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

LicenseStateTypeSpecialty
TUV008585-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehg NJ Service LLC Optometrist CurrentSince Aug 1, 2022 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.

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

Verify at the official NPI Registry.