Amy S Chang, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

220385 Issued in MA

Practice address

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032

Phone

(508) 535-3376

Fax

(508) 535-3377

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Tufts University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Dermatology Physicians PCGroup PAC ID 4789767104, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Shore Dermatology Physicians, P.C.

  • Dermatology Physician
  • North Easton, MA
  • NPI 1992988703
  Medicare reassignment Care Compare group NPD
• Bridgewater Goddard Park Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Brockton, MA
  • NPI 1417932591
  NPD (past)
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brockton Hospital, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1023022522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "220385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane L Carlson, LICSW
• Brian Charles Castelluccio, PH.D.
• Heather Castonguay
• Angela Marie Chadwick
• Carol Ann Chandonnet, L.I.C.S.W.
• Kyung Hee Chang, M.D., PH.D.
• Simon Chao, MD
• Sujana Chaparala, MD
• Bradley Cicchetti
• Alison B Cimini, P.A.C

• Dermatology Physician in North Easton, MA
• Providers in North Easton, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.