Jessica Chang

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007379-01 Issued in NY

Practice address

13526 Roosevelt Ave Ste 2
Flushing, NY 11354-6818

Phone

(917) 992-8836

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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)

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.

• Jic Acupuncture PLLC

  • Clinic/Center
  • Flushing, NY
  • NPI 1265246433
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1497437115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13526 ROOSEVELT AVE STE 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546818",
            "telephone_number": "917-992-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 ROOSEVELT AVE STE 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546818",
            "telephone_number": "917-992-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007379-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hwan Shyang Chang
• Hyesook Chang, M.D.
• Janet Chang, PA-C
• Jenny Chun Lan Chang
• Jessica Chang
• Jihee Chang, OTR/L
• Jin S Chang
• Joon H Chang, MD
• Jui-Yuan Chang
• Kai-Hui Carl Chang, D.D.S.

• Acupuncturist in Flushing, NY
• Providers in Flushing, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.