MEDICARE: DR. ALEX JUN CHOI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	064483	NY
2	1223E0200X	Endodontics	22DI02862400	NJ

General Provider Information

NPI Number	:	1538785860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX JUN CHOI DMD

Provider Business Mailing Address
First Line	:	1100 AVENUE AT PORT IMPERIAL APT 741
Second Line	:
City	:	WEEHAWKEN
State	:	NJ
Zip	:	07086-6308
Country	:	US
Telephone Number	:	201-314-4265
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 48TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-6439
Country	:	US
Telephone Number	:	201-866-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2020
Last Update Date	:	03/20/2026

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