Individual provider Active NPI

John Chu-Hong Chang, M.D.

  • Ophthalmology Physician
  • Pearl River, NY
National Provider Identifier
1073516027
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
225687 Issued in NY
Practice address
169 N Middletown Rd
Pearl River, NY 10965-2029
Phone
(845) 735-5666
Fax
(845) 735-5673
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 225687 NY Primary
Specialist 174400000X 225687-1 NY

Addresses

Primary practice location

169 N Middletown Rd
Pearl River, NY 10965-2029

Mailing address

169 N Middletown Rd
Pearl River, NY 10965-2029
Phone (845) 735-5666

Other identifiers 3

IdentifierTypeStateIssuer
132998987OtherNYTAX ID
P00014839OtherNYPALMETTO GBA RAILROAD MEDICARE
02362274MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050620000184 NY Practitioner - Ophthalmology 2860436995 Reassigns benefits to 1 organization
I20070213000255 NJ Practitioner - Ophthalmology 2860436995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maria Spinak, MD, PCGroup PAC ID 8325082704, 2 clinicians

Practice addresses (Care Compare)

169 N Middletown Rd
Pearl River, NY 10965-2057
Phone (845) 735-5666

500 N Franklin Tpke
Ramsey, NJ 07446-1177
Phone (201) 995-9975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
8.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
27.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery149
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225687-1NYMDSpecialist
225687NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Spinak, MD, PC Specialist CurrentSince Jan 1, 2004 Accepting new patients

Locations

500 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 995-9975

169 N Middletown Rd
Pearl River, NY 10965
Phone (845) 735-5666

19 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 942-5666

19 Liberty Square Mall
#9W
Stony Point, NY 10980

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1073516027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652029",
            "telephone_number": "845-735-5666",
            "fax_number": "845-735-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652029",
            "telephone_number": "845-735-5666",
            "fax_number": "845-735-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JOHN",
        "middle_name": "CHU-HONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "225687",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "225687-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "132998987",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "P00014839",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

Verify at the official NPI Registry.