Active NPI
Corey Chang, M.D., PH.D.
- Anatomic Pathology Physician
- Greenvale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 309581-01
- Practice address
- 2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220 - Phone
- (908) 902-8605
- NPI assigned
- May 13, 2016
- Last updated
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 309581-01 | NY | Primary |
Addresses
Primary practice location
2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Mailing address
82 Boyd St
Newark, NJ 07103-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Rutgers New Jersey Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
301 E Main St
Bay Shore, NY 11706-8408
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
- Lenox Hill Hospital
- NS/Lij HS Southside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309581-01 | NY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1023464567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 BOYD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NORTHERN BLVD STE 104",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481220",
"telephone_number": "908-902-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "COREY",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "309581-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.