NPIMap

Individual provider Active NPI

Paul P Chang, MD

  • Specialist
  • New York, NY
National Provider Identifier
1952390528
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
216277 Issued in NY
Practice address
80 5TH Ave
Suite 1605
New York, NY 10011-8002
Phone
(646) 543-6396
Fax
(212) 647-1931
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 216277 NY Primary

Addresses

Primary practice location

80 5TH Ave
Suite 1605
New York, NY 10011-8002

Mailing address

80 5TH Ave
Suite 1605
New York, NY 10011-8002
Phone (646) 543-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000397 NY Practitioner - NephrologyPractitioner - Internal Medicine 1658424056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Health Center IncGroup PAC ID 1951290204, 33 clinicians
Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

275 7TH Ave
FL 4
New York, NY 10001-6757
Phone (212) 924-2510

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

80 5TH Ave
RM 1605
New York, NY 10011-8010
Phone (646) 543-6396

Hospital & facility affiliations

  • Rockaway Dialysis Dialysis facility, Far Rockaway, NY, CCN 332694
  • Chinatown Dialysis Center Inc Dialysis facility, New York, NY, CCN 332607
  • Glengariff Dialysis Center, LLC Dialysis facility, Glen Cove, NY, CCN 332775
  • Fresenius Kidney Care Southern Manhattan Dialysis Center Dialysis facility, New York, NY, CCN 332530
  • Dialyze Direct Brooklyn, NY Dialysis facility, Brooklyn, NY, CCN 332755
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • Isabella Geriatric Center Inc Nursing home, New York, NY, CCN 335100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216277NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Oct 1, 2025 Accepting new patients
Multiviz Medical Services PC CurrentSince Sep 1, 2025 Accepting new patients
Manhattan Renal Associate, P.C. Specialist CurrentSince Jun 5, 2002 Accepting new patients
Park Avenue Medical Group, P.C. Past Accepting new patients
Manhattan Integrative Medicine, P.C. Past Accepting new patients
Isabella Geriatric Center, Inc. Past Accepting new patients

Locations

215 Rockaway Ave
Brooklyn, NY 11233
Phone (718) 290-8057

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

80 5th Ave
Rm 1605
New York, NY 10011
Phone (212) 477-4510

1841 Broadway
Rm 1012
New York, NY 10023
Phone (212) 262-2412

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1952390528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "SUITE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "646-543-6396",
            "fax_number": "212-647-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "SUITE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "646-543-6396",
            "fax_number": "212-647-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "216277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.