Active NPI
Le & Chang Family Urgent Care PC
- General Practice Physician
- Worcester, MA
National Provider Identifier
1902066574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 221724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quang Phong Le, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1091590 | Le and Quang Family Urgent Care | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1578665998
-
- Physician Assistant
- Worcester, MA
- NPI 1861537458
-
- Physician Assistant
- Longmeadow, MA
- NPI 1134803059
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.