Active NPI
Lena L Chang, NP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1326298290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 302307
- Practice address
- 16TH Street and First Avenue
Beth Israel Medical Cardiac Cath Lab FL 11 Dazian BLDG
New York, NY 10003 - Phone
- (212) 420-2806
- Fax
- (212) 420-2406
- NPI assigned
- Sep 26, 2008
- Last updated
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 302307 | NY | Primary |
Addresses
Primary practice location
16TH Street and First Avenue
Beth Israel Medical Cardiac Cath Lab FL 11 Dazian BLDG
New York, NY 10003
Mailing address
200 Rector PL Apt 34N
New York, NY 10280-1173
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302307 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Care Medical PLLC | Current | Accepting new patients |
Locations
596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450
Interoperability endpoints
- lena.chang.1@32021.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1093531691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1326298290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RECTOR PL APT 34N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16TH STREET AND FIRST AVENUE",
"address_2": "BETH ISRAEL MEDICAL CARDIAC CATH LAB FL 11 DAZIAN BLDG",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-2806",
"fax_number": "212-420-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "LENA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "302307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.