Individual provider Active NPI

Jayson K Choi, DPM

  • Podiatrist
  • Paramus, NJ
National Provider Identifier
1962857250
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00349100 Issued in NJ
Practice address
41 Forest Ave
Paramus, NJ 07652-5213
Phone
(718) 877-8420
NPI assigned
Apr 25, 2016
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00349100 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

41 Forest Ave
Paramus, NJ 07652-5213

Mailing address

41 Forest Ave
Paramus, NJ 07652-5213
Phone (718) 877-8420

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
I20200212001121 NJ Practitioner - Podiatry 9335575265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth Donovan DPM LLCGroup PAC ID 0446411086, 7 clinicians

Practice addresses (Care Compare)

9 Mount Bethel Rd
Suite 209
Warren, NJ 07059-5603
Phone (908) 605-0799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue176
Removal of skin lesions125
Removal of nail tissue1916
Removal or shaving of skin growth966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00349100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Donovan DPM LLC Podiatrist CurrentSince May 1, 2021 Accepting new patients
Toms River Podiatrist PastSince Oct 24, 2021 Accepting new patients
James F. Donovan Podiatrist Past Accepting new patients

Locations

200 S Orange Ave
#107
Livingston, NJ 07039
Phone (908) 605-0799

200 S Orange Ave
Ste 107
Livingston, NJ 07039
Phone (973) 322-0220

104 Commons Way
Toms River, NJ 08755
Phone (732) 349-1123

104 Commons Way
#A
Toms River, NJ 08755
Phone (908) 605-0799

104 Commons Way
Bldg A
Toms River, NJ 08755
Phone (732) 349-1123

9 Mount Bethel Rd
#209
Warren, NJ 07059
Phone (908) 605-0799

9 Mount Bethel Rd
Ste 209
Warren, NJ 07059
Phone (516) 263-4191

Interoperability endpoints

  • Direct secure messaging: jchoi253934@epicdirect.rwjbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1962857250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525213",
            "telephone_number": "718-877-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525213",
            "telephone_number": "718-877-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JAYSON",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00349100",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.