Young Jin Chang, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032265 Issued in NY

Practice address

315 5TH Ave RM 1001
New York, NY 10016-6510

Phone

(212) 685-1004

Fax

(212) 685-1007

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

Yes

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

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.

• Chungdam Physical Therapy & Rehabilitation, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1457698250
  NPD Authorized official
• Chungdam Wellness Group,Inc

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1730463183
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1780974543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166587",
            "telephone_number": "212-685-1004",
            "fax_number": "212-685-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166510",
            "telephone_number": "212-685-1004",
            "fax_number": "212-685-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YOUNG JIN",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007157",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woo Sung (Jimmy) Chang, DDS
• Xian Chang, P.T.
• Ya Ju Chang, MD
• Yi-Hui Chang, LCAT
• Yong-Jin Michael Chang, DDS
• Yu Wei Chang, CHIROPRACTOR
• Yu-Chuan Chang
• Yu-Tzu Chang
• Yumei Mary Chang, M.D.
• Yunyoung Claire Chang, M.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.