Brian Y Changlai MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

147291 Issued in NY

Legal business name

BRIAN Y CHANGLAI MD PC

Practice address

4921 Briarwood LN
Manlius, NY 13104-1307

Phone

(315) 637-5986

NPI assigned

Nov 22, 2005

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Yishing Changlai, MDNPI 1366425530

Title

President

Phone

(315) 492-5769

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Brian Y Changlai MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian Y Changlai MD PC

  • Cardiovascular Disease Physician
  • Manlius, NY
  • NPI 1114474137
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Yishing Changlai, MD

  • Internal Medicine Physician
  • Manlius, NY
  • NPI 1366425530
  Medicare reassignment NPD Authorized official
• Mary C Daye, M.D.

  • Internal Medicine Physician
  • Liverpool, NY
  • NPI 1720050107
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1669455838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BRIARWOOD LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041307",
            "telephone_number": "315-637-5986",
            "fax_number": "315-492-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 BRIARWOOD LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041307",
            "telephone_number": "315-637-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN Y CHANGLAI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "CHANGLAI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "YISHING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-492-5769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147291",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "147291",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "147291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Booher, MS CCC-SLP
• Tiffany Bottar, PT
• Mark Isidore Boule, D.D.S.
• Joella Bova-Larham, AU.D
• Brian Y Changlai MD PC
• Taylor Alissa Brown
• Debra A Buchan, MD
• C. J. Haslam Behavioral Health
• Danielle Elizabeth Cahill, PHARM.D.
• Christine Patrice Caldwell-Rudolph, LPN

• Internal Medicine Physician in Manlius, NY
• Providers in Manlius, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.