Chang Hyun Min, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1105301 Issued in NY

Practice address

132 Dock Rd
East Islip, NY 11730-2905

Phone

(631) 277-4959

Fax

(631) 277-4959

NPI assigned

Sep 22, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1336248541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DOCK RD",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302905",
            "telephone_number": "631-277-4959",
            "fax_number": "631-277-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DOCK RD",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302905",
            "telephone_number": "631-277-4959",
            "fax_number": "631-277-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "CHANG",
        "middle_name": "HYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1105301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Cecelia McCoy, R.N.
• Keith McFall, LMHC
• Angela Johanna Mendez
• Michael Ladinsky DO PC
• Deborah Anne Miloscia
• Alexander F Minardi, PH.D.
• Margaret Mary Minogue, MAED.
• Mireille Constant, MD, PC
• Lauren Grace Moccaldi
• Faeza Mohi, PHARMD

• Psychiatry Physician in East Islip, NY
• Providers in East Islip, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.