TAE AN CHOI N.P.
NPI 1376831966
Nurse Practitioner - Adult Health in Long Island City, NY

Q: What is Tae An Choi's NPI number?

The NPI number for Tae An Choi is 1376831966. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Q: What is Tae An Choi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tae An Choi was last updated on July 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2011PECOS EnrolledAccepts Medicare Assignment

3425 VERNON BLVD, LONG ISLAND CITY, NY 11106(631) 979-0922 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tae An Choi N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE AN CHOI N.P. (NPI 1376831966) is an individual adult health provider in Long Island City, New York, licensed in New York (305759) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376831966

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameTAE AN CHOICredential: N.P.

Location Address3425 VERNON BLVDLong Island City, NY 11106-5121

Mailing Address10230 66th Rd Apt 28cForest Hills, NY 11375-7622 · (917) 755-6179

Phone(631) 979-0922

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 15, 2011

✔ NPI 1376831966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 305759

3425 VERNON BLVD, Long Island City, NY 11106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tae An Choi N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749767275

PECOS Enrollment IDI20260127001259

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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