Eunyung Chang, L.AC., MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006677 Issued in NY

Practice address

1 Cisney Ave
Floral Park, NY 11001-3249

Phone

(516) 460-8289

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Eun Yung Kwon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Calming Tree Acupuncture PC

  • Acupuncturist
  • Floral Park, NY
  • NPI 1609563337
  NPD Authorized official
• 95 Acupuncture PC

  • Acupuncturist
  • New York, NY
  • NPI 1649081282
  NPD (past)
• Northern Boulevard Acupuncture PC

  • Acupuncturist
  • Bayside, NY
  • NPI 1134722622
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1255971636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18949 46TH RD FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013249",
            "telephone_number": "516-460-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Fulton St Rm 136",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382538",
            "country_code": "US",
            "telephone_number": "212-349-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EUNYUNG",
        "name_prefix": "Ms.",
        "credential": "L.AC., MSTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUN YUNG",
            "last_name": "KWON",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa D Cascio-Leva, M.D.
• Sofia Isabel Castillo
• Deirdre Catherine Cerina
• Erin Chambers
• Fenny Chand, PHYSICIAN ASSISTANT
• Judith Miriam Charnet, PH.D.
• Preethi Chauhan, D.D.S
• Riddhi Chauhan, DO
• Tova Chaviv, TOV CHAVIV
• Chemists RX Plus Inc.

• Acupuncturist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.