MEDICARE: JOHN CHOI

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	367500000X	Certified Registered Nurse Anesthetist	810073-01	NY
2	163W00000X	Registered Nurse	810073-01	NY

General Provider Information

NPI Number	:	1265388276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CHOI

Provider Business Mailing Address
First Line	:	219 LAUREL RD APT 613
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-2345
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 DELAWARE AVE APT 4
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14209-2034
Country	:	US
Telephone Number	:	914-274-0927
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	05/19/2026

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Directions to “ JOHN CHOI ” Practice Location

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