Ellen Chang

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

1601 3Rd Ave Apt 20B
New York, NY 10128-3456

Phone

(917) 747-0011

NPI assigned

Dec 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Ellen Chang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1841761582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 3RD AVE APT 20B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283456",
            "telephone_number": "917-747-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 3RD AVE APT 20B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283456",
            "telephone_number": "917-747-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "CHANG",
            "prefix": "MS.",
            "credential": "MIRIAM ELLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Siu Chang, D.D.S., P.C.
• David L Chang
• Diane Chang, M.D., PH.D.
• Edison Chang
• Eileen Linda Chang, M.D.
• Evan Chang, PT, DPT
• Fang Chang, MD
• Flora Salts Chang, PHARM.D
• Fu-Ting Chang
• Grace Wing-Young Chang, PT, DPT

• Religious Nonmedical Practitioner in New York, NY
• Providers in New York, NY by specialty
• Religious Nonmedical Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.