Chang Jonathan Maung Tin Physician, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

203365 Issued in NY

Legal business name

CHANG JONATHAN MAUNG TIN PHYSICIAN, PC

Practice address

5303 8TH Ave
Brooklyn, NY 11220-3201

Phone

(718) 972-1777

Fax

(718) 854-7086

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Veronica Chang

Title

Office Manager

Phone

(718) 972-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Mt Chang, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1114968385
  Medicare reassignment NPD
• Nilar Tun

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1942621263
  Medicare reassignment NPD
• Kyaw Zaw Lin, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1730542531
  Medicare reassignment
• Ghanshyam Bhambhani, M.D

  • Cardiovascular Disease Physician
  • Ozone Park, NY
  • NPI 1972565562
  NPD (past)
• Dahjen Lee, MD

  • Surgery Physician
  • New York, NY
  • NPI 1205932654
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1598849275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203201",
            "telephone_number": "718-972-1777",
            "fax_number": "888-815-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203201",
            "telephone_number": "718-972-1777",
            "fax_number": "718-854-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG JONATHAN MAUNG TIN PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-972-1777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belur S Chandramouly, MD
• Seeni Chandran, MHC-LP
• Sridevi Chandrasekar
• Chang Ho Lee Brooklyn Medical PC
• Cindy Stella Chang Huang
• Cynthia Chang-Saada
• Andrew A Chang, MD,MPH,MA
• Andrew Hwansoo Chang, DDS
• Angela Carleta Chang, PHD, LCSW-R
• Angela Han Ping Chang, O.D.

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.