Active NPI
Ruby Chang, MD
- Pediatrics Physician
- Great Barrington, MA
National Provider Identifier
1043279094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51560
- Practice address
- 100 Maple Ave
Suite 1
Great Barrington, MA 01230-1963 - Phone
- (413) 528-4047
- Fax
- (413) 528-3407
- NPI assigned
- Mar 20, 2006
- Last updated
- Aug 29, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51560 | MA | Primary |
Addresses
Primary practice location
100 Maple Ave
Suite 1
Great Barrington, MA 01230-1963
Mailing address
725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2752
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J05529 | Other | MA | BCBS |
| 11199 | Other | MA | HEALTH NEW ENGLAND |
| 515600 | Other | MA | CONNECTICARE |
| 7859 | Other | MA | HEALTHNET |
| 010051560MA01 | Other | MA | BCBC CONN |
| 201051 | Other | MA | PILGRIM |
| 3008835 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51560 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1043279094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109",
"telephone_number": "413-447-2752",
"fax_number": "413-496-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAPLE AVE",
"address_2": "SUITE 1",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301963",
"telephone_number": "413-528-4047",
"fax_number": "413-528-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "RUBY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "51560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J05529",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "11199",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "515600",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "7859",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC CONN",
"identifier": "010051560MA01",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRIM",
"identifier": "201051",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3008835",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.