MEDICARE: CHOI MEDICAL GROUP P.C.

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1396693396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOI MEDICAL GROUP P.C.

Provider Business Mailing Address
First Line	:	188 CAMBRIDGE CT
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	669 BROAD AVE STE 103
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1631
Country	:	US
Telephone Number	:	201-916-0848
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOSEPH CHOI
Credential	:	DO
Telephone Number	:	201-916-0848

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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