Hwang Nam Chang, MD
Individual provider Active NPI Internal Medicine Physician · Newark, NY
NPI 1235201666 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1235201666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 121387 (NY)
- Practice address
- 165 East Union St Suite 202
Newark, NY 14513 - Phone
- (315) 331-4422
- Fax
- (315) 331-9584
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 121387 | NY | Yes |
Addresses
Primary practice location
165 East Union St Suite 202
Newark, NY 14513
Mailing address
165 East Union Street Suite 202
Newark, NY 14513
Phone (315) 331-4422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00452713 | Medicaid | NY |
Other providers in Newark, NY
- Catholic Charities of the Diocese of Rochester
- Catholic Charities of the Diocese of Rochester
- John F Centonze
- Carrie Cerino
- Tracey Chandler
- Lawrence N. Chessin
- Zenon Ciopyk
- CJ-Mak Transportation, Inc.
- Daniel James Clark
- Candice J Clement
All providers in Newark, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.