Northern Physical Medicine, P.C.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

272293 Issued in NY

Legal business name

NORTHERN PHYSICAL MEDICINE, P.C.

Practice address

15001 Northern Blvd
1St Floor
Flushing, NY 11354-3896

Phone

(718) 746-4919

Fax

(718) 746-4920

NPI assigned

Oct 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Seung Yi Chang, M.D.

Title

Medical Doctor

Phone

(718) 746-4919

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1003243254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919",
            "fax_number": "718-746-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SEUNG YI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-746-4919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "272293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Inerventional Medical LLC
• Northern Interventional Medical PC
• Northern Medical PLLC
• Northern Oasis Acupuncture PC
• Northern Optical Inc.
• Northern Physical Therapy, Chiropractic & Acupuncture, PLLC
• Northern Urgent Medical Care PLLC
• Northstar Drug Inc
• Nova Medical Group LLC
• Nova Medical PLLC

• Interventional Pain Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.