Organization Active NPI

Le & Chang Family Urgent Care PC

  • General Practice Physician
  • Worcester, MA
National Provider Identifier
1902066574
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
221724 Issued in MA
Legal business name
LE & CHANG FAMILY URGENT CARE PC
Practice address
456 Park Ave
Worcester, MA 01610-1227
Phone
(508) 685-1517
Fax
(508) 877-0596
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Quang Phong Le, MDNPI 1578665998
Title
President
Phone
(508) 685-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 221724 MA Primary

Addresses

Primary practice location

456 Park Ave
Worcester, MA 01610-1227

Mailing address

569 Water St
Framingham, MA 01701-7651
Phone (508) 494-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080819000135 MA Part B Supplier - Clinic/Group Practice 9830264340 Receives reassigned benefits from 3 practitioners
Practice locations: Worcester, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1091590Le and Quang Family Urgent Care456 Park Avenue, Worcester, MA 01610Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16796/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1902066574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 WATER ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017651",
            "telephone_number": "508-494-6634",
            "fax_number": "508-877-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101227",
            "telephone_number": "508-685-1517",
            "fax_number": "508-877-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE & CHANG FAMILY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "PHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-685-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "221724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.