Physician Compare National (NPI:1902802846)

HEALTHCARE PROVIDER: MINGI CHOI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902802846
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709973399
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100106000581
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHOI
	Individual professional last name
Provider First Name	MINGI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	113 W ESSEX ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	MAYWOOD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076071020
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2015561100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310028
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NEWTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y