Attica Chang MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78975 Issued in FL

Legal business name

ATTICA CHANG MD PA

Practice address

1356 NW Boca Raton Blvd
Boca Raton, FL 33432-1609

Phone

(561) 395-9500

Fax

(561) 395-9234

NPI assigned

Mar 20, 2009

Organization subpart

No

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

Authorized official

Name

Attica ChangNPI 1225099781

Title

Director

Phone

(561) 395-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BOCA RATON SKIN & LASER CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 4

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

• Attica C Chang, M.D.

  • Specialist
  • Boca Raton, FL
  • NPI 1225099781
  Medicare reassignment NPD Authorized official
• Robb Elliott Wilentz, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1033115209
  Medicare reassignment NPD
• Megan Heather Lewis, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1043065253
  Medicare reassignment
• Kenneth Richards, PA

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1134699911
  Medicare reassignment

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1992946974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 NW BOCA RATON BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321609",
            "telephone_number": "561-395-9500",
            "fax_number": "561-395-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 NW BOCA RATON BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321609",
            "telephone_number": "561-395-9500",
            "fax_number": "561-395-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTICA CHANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ATTICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-395-9500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOCA RATON SKIN & LASER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlanticare Nursing Services Inc.
• Atlas DME LLC
• Attain Your Dreams Coaching and Counseling Services, PL
• Bilga F Attar, MD
• Ulla Attia, MSW
• Laura Auble
• Angela Aucoin, PT
• Audiology Associates of Boca Raton, Inc.
• Audrey B Greenwald Ms CCC PA
• Jonathan S. Auerbach, M.D.

• Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.