Individual provider Active NPI

Changping Jia, MD

  • Nuclear Imaging & Therapy Physician
  • Brooklyn, NY
National Provider Identifier
1184802050
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
279254 Issued in NY
Practice address
7601 4TH Ave
Brooklyn, NY 11209-3269
Phone
(718) 238-7000
NPI assigned
Feb 4, 2008
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 279254 NY
Nuclear Imaging & Therapy Physician 207UN0902X 279254 NY Primary

Addresses

Primary practice location

7601 4TH Ave
Brooklyn, NY 11209-3269

Mailing address

4235 Main St Ste 3C
Flushing, NY 11355-3969
Phone (718) 673-2318

Other practice location 1

217 Grand St Ste 401
New York, NY 10013-4396
Phone (212) 390-1830

Other practice location 2

4235 Main St Ste 3C
Flushing, NY 11355-3969
Phone (718) 673-2318

Other practice location 3

6565 N Charles St
Suite 203
Baltimore, MD 21204-6800
Phone (443) 849-2682

Other practice location 4

2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000 ext. 3260

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003917 NY Practitioner - Diagnostic RadiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 6103198346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

285 Sills Rd
East Patchogue, NY 11772-4808
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Sep 30, 2023 Accepting new patients
Crystal Run Healthcare Physicians LLP Internal Medicine CurrentSince Sep 30, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

155 Crystal Run Rd
Middletown, NY 10941

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: cjia51666@direct.optum.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1184802050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 3C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-673-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093269",
            "telephone_number": "718-238-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Grand St Ste 401",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134396",
            "country_code": "US",
            "telephone_number": "212-390-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Main St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553969",
            "country_code": "US",
            "telephone_number": "718-673-2318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 N Charles St",
            "address_2": "SUITE 203",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046800",
            "country_code": "US",
            "telephone_number": "443-849-2682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Marcus Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421113",
            "country_code": "US",
            "telephone_number": "516-622-6000 x3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIA",
        "first_name": "CHANGPING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279254",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "279254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.