Individual provider Active NPI

Ya Ju Chang, MD

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1801879119
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
207546 Issued in NY
Practice address
41 Elizabeth Street
Suite 203
New York, NY 10013-4637
Phone
(212) 334-9591
Fax
(212) 334-9598
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 207546 NY
Rheumatology Physician 207RR0500X 207546 NY Primary

Addresses

Primary practice location

41 Elizabeth Street
Suite 203
New York, NY 10013-4637

Mailing address

41 Elizabeth Street
Suite 203
New York, NY 10013-4637
Phone (212) 334-9591

Other identifiers 1

IdentifierTypeStateIssuer
01946758MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000937 NY Practitioner - Rheumatology 3971417486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41 Elizabeth St
Suite 203
New York, NY 10013-4637
Phone (212) 334-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207546NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Medical Associates, PLLC CurrentSince Jan 1, 2008 Accepting new patients
Icahn School of Medicine at Mount Sinai Rheumatology CurrentSince Sep 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2019 Accepting new patients
Beth Israel Medical Center Rheumatology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

10 Union Sq E
Ste 3D
New York, NY 10003
Phone (212) 844-8101

41 Elizabeth St
Ste 203
New York, NY 10013
Phone (212) 334-9590

10 Union Sq E
Ste 3G
New York, NY 10003
Phone (212) 844-8100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1801879119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ELIZABETH STREET",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134637",
            "telephone_number": "212-334-9591",
            "fax_number": "212-334-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ELIZABETH STREET",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134637",
            "telephone_number": "212-334-9591",
            "fax_number": "212-334-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YA JU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "207546",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "207546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01946758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.