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JOHN B. CHANGMDPC NPI 1154307262


NPI Information

NPI: 1154307262
Provider Name: JOHN B. CHANG,MDPC

Doing Business As: D/B/A LONG ISLAND VASCULAR CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1050 NORTHERN BLVD
ROSLYN, NY
ZIP 11576
Phone: (516) 484-3430
Get Directions

JOHN B. CHANG,MDPC is a vascular surgery surgery in Roslyn, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JOHN B. CHANG,MDPC NPI is 1154307262. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As D/b/a Long Island Vascular Center.

The provider's business location address is:

1050 NORTHERN BLVD
ROSLYN, NY
ZIP 11576-503
Phone: (516) 484-3430
Fax: (516) 484-3482

The provider's authorized official is Lucy Chang .
The authorized official title is Vice-president and has the following contact phone number (516) 484-3430.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 3/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WEE621MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2CJ8878OTHERNEW YORKRAILROAD MEDICARE
308302GMEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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