Wootaek Chang

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

171373 Issued in NY

Practice address

121 Dekalb Ave
Brooklyn, NY 11201-5425

Phone

(718) 250-8022

Fax

(718) 250-6179

NPI assigned

Aug 4, 2006

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooklyn Hospital Center II Dialysis facility, Brooklyn, NY, CCN 333515
• Rogosin Brooklyn Home Dialysis Dialysis facility, Brooklyn, NY, CCN 332781

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wchang8941@prd.direct.tbh.org

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.

• Brooklyn Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1801065388
  NPD
• Linden Medical Group, PLLC

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1669218517
  NPD (past)
• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)
• TBHC Medical Testing Services PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1720214943
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Rogosin Institute Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1659851442

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1437167590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WOODLAND RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761434",
            "telephone_number": "516-365-1822",
            "fax_number": "718-250-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8022",
            "fax_number": "718-250-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WOOTAEK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "171373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01153222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sung Ae Chang, R.PH
• Tiffany R Chang, OTR/L
• Tiffinny Chang, PHARMD
• Tzu-Hsuan Chang
• Wan-Wen Chang, MSPT
• Yan-Jung Chang, D.M.D
• Yoo Jin Chang
• Yoon Jung Chang
• Yuanhsi N Chang
• Dipali Changela, M.D.

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.