Active NPI
Changhwan Je
- Physical Therapist
- Flushing, NY
National Provider Identifier
1831023522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050050
- Practice address
- 3901 Main St Ste 310
Flushing, NY 11354-5434 - Phone
- (917) 563-1373
- NPI assigned
- Jun 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050050 | NY | Primary |
Addresses
Primary practice location
3901 Main St Ste 310
Flushing, NY 11354-5434
Mailing address
3127 137TH St Apt 4a
Flushing, NY 11354-1998
Phone (347) 594-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1831023522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 137TH ST APT 4A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541998",
"telephone_number": "347-594-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MAIN ST STE 310",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545434",
"telephone_number": "917-563-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JE",
"first_name": "CHANGHWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.