Active NPI
John B. Chang,MDPC
- Vascular Surgery Physician
- Roslyn, NY
National Provider Identifier
1154307262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- JOHN B. CHANG,MDPC
- Practice address
- 1050 Northern Blvd
Roslyn, NY 11576-1503 - Phone
- (516) 484-3430
- Fax
- (516) 484-3482
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lucy Chang, MD
- Title
- Vice-President
- Phone
- (516) 484-3430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1050 Northern Blvd
Roslyn, NY 11576-1503
Mailing address
1050 Northern Blvd
Roslyn, NY 11576-1503
Phone (516) 484-3430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ8878 | Other | NY | RAILROAD MEDICARE |
Other names 1
- D/B/A Long Island Vascular Center
National Provider Directory
National Provider DirectoryLocations
1050 Northern Blvd
Roslyn, NY 11576
Phone (516) 484-3430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Roslyn, NY
- NPI 1659357754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1154307262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761503",
"telephone_number": "516-484-3430",
"fax_number": "516-484-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761503",
"telephone_number": "516-484-3430",
"fax_number": "516-484-3482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN B. CHANG,MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "LUCY",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "516-484-3430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ8878",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D/B/A Long Island Vascular Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.