1780611376 NPI number — JULIE C CHOI MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780611376 NPI number — JULIE C CHOI MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

CHOI

Provider First Name:

JULIE

Provider Middle Name:

C

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1780611376

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

12/01/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

55 PALMER AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BRONXVILLE

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10708-3403

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-204-1112

Provider Business Mailing Address Fax Number:

914-242-8130

Provider First Line Business Practice Location Address:

55 PALMER AVE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BRONXVILLE

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10708-3403

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-204-1112

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

06/27/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0001X , with the licence number:  194057 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 0000000106124 . This is a "GHI HMO PROVIDER ID NUMBE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 001984 . This is a "COMMUNITY CHOICE PIN#" identifier . This identifiers is of the category "OTHER".
• Identifier: 1236475 . This is a "AETNA PPO PIN" identifier . This identifiers is of the category "OTHER".
• Identifier: 222794 . This is a "US FAMILY HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4099420 . This is a "GHI PPO PROVIDER NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P3673864 . This is a "OXFORD HEALTH PLAN PIN#" identifier . This identifiers is of the category "OTHER".
• Identifier: 7562022 . This is a "AETNA HMO PIN" identifier . This identifiers is of the category "OTHER".
• Identifier: EMPIRE BCBS . This is a "2486E1" identifier . This identifiers is of the category "OTHER".
• Identifier: P00822562 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 390849 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
• Identifier: 5C6293 . This is a "HEALTHNET PIN #" identifier . This identifiers is of the category "OTHER".
• Identifier: CDPHP PROVIDER PIN# . This is a "10053520" identifier . This identifiers is of the category "OTHER".
• Identifier: P3706854 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 02120432 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".