Active NPI
Jui-Yuan Chang
- Physical Therapist
- Flushing, NY
National Provider Identifier
1902188618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033893-1
- Practice address
- 13621 Roosevelt Ave Ste 409
Flushing, NY 11354-5507 - Phone
- (718) 888-9778
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 033893-1 | NY | Primary |
Addresses
Primary practice location
13621 Roosevelt Ave Ste 409
Flushing, NY 11354-5507
Mailing address
7605 113TH St Apt 4E
Forest Hills, NY 11375-6540
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033893-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare Medical PC | Past | Accepting new patients | |
| Continental Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Forest Hills, NY
- NPI 1235456864
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Rego Park, NY
- NPI 1710284815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1902188618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7605 113TH ST APT 4E",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13621 ROOSEVELT AVE STE 409",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545507",
"telephone_number": "718-888-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JUI-YUAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033893-1",
"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 Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.