Dr Kyungkon Kenneth Choi, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Palisades Park, New Jersey. His current practice location is
340 Broad Ave, Palisades Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 592-1112.
Dr Kyungkon Kenneth Choi is licensed to practice in New York (license number 178646) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760579064.
Physician's Profile
| Full Name | Dr Kyungkon Kenneth Choi |
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| Gender | Male |
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| Speciality | Internal Medicine - Infectious Disease |
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| Location | 340 Broad Ave, Palisades Park, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760579064
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739340902
- Enrollment ID: I20120416000169
Medical Identifiers
Medical identifiers for Dr Kyungkon Kenneth Choi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760579064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 178646 (New York) | Secondary |
| 207R00000X | Internal Medicine | MA53293 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | MD042719-E (Pennsylvania) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MA53293 (New Jersey) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 178646 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kyungkon Kenneth Choi allows following entities to bill medicare on his behalf.
| Entity Name | Palisades Park Medicine, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093080871
PECOS PAC ID: 8820259096
Enrollment ID: O20120416000127 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyungkon Kenneth Choi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Kyungkon Kenneth Choi, MD
340 Broad Ave,
Palisades Park, NJ 07650-2618
Ph: (201) 592-1112 | Dr Kyungkon Kenneth Choi, MD
340 Broad Ave,
Palisades Park, NJ 07650-2618
Ph: (201) 592-1112 |
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