Provider Demographics
NPI:1902802846
Name:CHOI, MINGI (MD)
Entity type:Individual
Prefix:
First Name:MINGI
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROBERTSON DRIVE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921
Mailing Address - Country:US
Mailing Address - Phone:908-378-3223
Mailing Address - Fax:908-722-6318
Practice Address - Street 1:1 ROBERTSON DRIVE
Practice Address - Street 2:SUITE 24
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921
Practice Address - Country:US
Practice Address - Phone:908-378-3223
Practice Address - Fax:908-722-6318
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05758800208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F44469Medicare UPIN
NJ7795602Medicaid
NJ879997BMNMedicare PIN