Healthcare Provider Details

I. General information

NPI: 1982543153
Provider Name (Legal Business Name): JUSTINE CHOE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 JAMES ST
EDISON NJ
08820-3947
US

IV. Provider business mailing address

88 JACKSON AVE APT 208
EDISON NJ
08837-3165
US

V. Phone/Fax

Practice location:
  • Phone: 908-307-0516
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number28RI03983400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: