Amy Chang, MD

Individual provider Active NPI Pediatrics Physician · Hockessin, DE

NPI 1124032750 · NPPES record last updated Jan 10, 2011

Key facts

NPI
1124032750
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
C1-0006480 (DE)
Practice address
722 Yorklyn Rd
Stone Mill Office Park, Suite 100
Hockessin, DE 19707
Phone
(302) 235-1188
Fax
(302) 239-2604
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040715000724 DE Practitioner - Pediatric Medicine 9335128115 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0006480DEMDPediatrics Physician
25-MA-07452300NJMDPediatrics Physician
MD-423599PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC Current
since Mar 1, 2025
Accepting new patients
Advocare, LLC Pediatrics Current
since Mar 1, 2025
Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

3521 Silverside Rd
Ste 1F
Wilmington, DE 19810
Phone (302) 478-2613

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Interoperability endpoints

  • Direct secure messaging: amy.chang.3@17596.direct.athenahealth.com
  • Direct secure messaging: amy.chang@advocaredoctors.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/17596/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0006480 DE Yes
Pediatrics Physician 208000000X 25-MA-07452300 NJ
Pediatrics Physician 208000000X MD-423599 PA

Addresses

Primary practice location

722 Yorklyn Rd
Stone Mill Office Park, Suite 100
Hockessin, DE 19707

Mailing address

722 Yorklyn Rd
Stone Mill Office Park, Suite 100
Hockessin, DE 19707
Phone (302) 235-1188

Other identifiers

IdentifierTypeStateIssuer
1012338790001MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2011.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1124032750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "STONE MILL OFFICE PARK, SUITE 100",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "19707",
            "telephone_number": "302-235-1188",
            "fax_number": "302-239-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "STONE MILL OFFICE PARK, SUITE 100",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "19707",
            "telephone_number": "302-235-1188",
            "fax_number": "302-239-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0006480",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25-MA-07452300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-423599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012338790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

All providers in Hockessin, DE · Pediatrics Physician in Delaware

Sources for this page

Verify at the official NPI Registry.