Jonathan T Chang, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

236105 Issued in NY

Practice address

6750 Thornton PL Apt 6H
Forest Hills, NY 11375-4183

Phone

(917) 553-8246

Fax

(718) 239-2556

NPI assigned

Oct 31, 2006

Last updated

Apr 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• White Plains Nursing Home, Inc.

  dba bronx park rehabilitation & nursing center

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1003988619

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citymedicine P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Forest Hills, NY
  • NPI 1215370127
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366416000000",
    "number": "1851477954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 THORNTON PL APT 6H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754183",
            "telephone_number": "917-553-8246",
            "fax_number": "718-239-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 THORNTON PL APT 6H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754183",
            "telephone_number": "917-553-8246",
            "fax_number": "718-239-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "236105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Chan, M.A., CCC-SLP
• Wendy Chan, PHARM.D.
• Yik Han Chan, MA, RD, CDN, CDCES
• Shannon L Chaney
• Chang Queens Acupuncture Wellness P.C.
• Kevin Anthony Chang, PHARMD.
• Sunhae Chang, RPH
• Xiu Chang
• Lokmattie Shelly Channan, LCSW
• Lina Marcela Chara Dussan

• Geriatric Medicine (Internal Medicine) Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.