Jae Whee Chang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064326-01 Issued in NY

Practice address

2244 Jackson Ave Apt 905
Long Island City, NY 11101-9411

Phone

(650) 833-9882

NPI assigned

Mar 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1770284549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 CENTER BLVD APT 1225",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016525",
            "telephone_number": "650-833-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 JACKSON AVE APT 905",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111019411",
            "telephone_number": "650-833-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JAE WHEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064326-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Secion Chan, M.D.
• Valecia Chan, PA
• Wai Hung Steve Chan, MA OTR/L
• Sachin Chandragiri
• Meera Chandrika Sreekumar
• Lih-Fan Chang, MD, MPH
• Michael Chang, M.D.
• Sing Chang
• Yi-Ting Chang
• Danielle Chanin, LMSW

• General Practice Dentistry in Long Island City, NY
• Providers in Long Island City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.