DR. MARK CHANG (NPI# 1356564934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356564934 |
| Entity Type | Individual |
| Full Name | DR. MARK CHANG |
| Credential | M.D. |
| Practice Address |
2 Medical Park Dr. West Nyac NY 10994 |
| Mailing Address |
532 Broadhollow Rd Suite 142 Melville NY 11747-3672 |
| Practice Telephone | 8453545000 |
| Practice Fax Number | 8453549469 |
| Mailing Telephone | 5169310041 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 240243-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02889150 | 05 | |
| NY | BLUE CROSS | MC005S3071 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679926679 | Mark Chang | Counselor | 1738 N Jupiter Rd, 1104, Garland, TX 75042-8699 | 2016-07-14 |
| 1861954182 | Mark Joshua Chang | Student in an Organized Health Care Education/Training Program | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2019-04-04 |
| 1689974107 | Mark Nicholas Chang | Pharmacist | 2214 El Camino Ave, Sacramento, CA 95821-4602 | 2010-11-01 |
| 1164500815 | Mark B. Chang | Internal Medicine | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1174632475 | Mark Wan Soo Chang | Internal Medicine | 2428 Knob Creek Road, Johnson City, TN 37604 | 2006-08-30 |
| 1871607507 | Mark K Chang | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2006-08-19 |
| Street Address |
2 MEDICAL PARK DR. |
| City | WEST NYAC |
| State | NY |
| Zip Code | 10994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1063948792 | Kristine Uzolina-shportko | Dentist | 3645 Palisades Center Drive, West Nyack, NY 10994 | 2017-05-01 |
| 1689016909 | Kathleen Ann Colaluca-borbon | Behavioral Analyst | 10 Brookhill Dr, West Nyack, NY 10994 | 2013-07-28 |
| 1528409380 | Donald Alvin Winikoff | Pediatrics | 12 Woodward Road, West Nyack, NY 10994 | 2013-07-09 |
| 1740557107 | Patricia Martone | Registered Nurse | 65 Parrott Rd., West Nyack, NY 10994 | 2011-11-29 |
| 1679855142 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road, Bldg.6, West Nyack, NY 10994 | 2011-09-12 |
| 1306128814 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road Building 6, West Nyack, NY 10994 | 2011-09-12 |
| 1851616940 | Susan Marie Toscano | Early Intervention Provider Agency | 7 Kenbar Rd, West Nyack, NY 10994 | 2010-03-31 |
| 1225282007 | Maria Rossetti | Speech-Language Pathologist | 65 Parrot Road, Rockland Boces, West Nyack, NY 10994 | 2008-11-06 |
| 1932377645 | All Care Family Nurse Practitioners LLC | Nurse Practitioner | 2244 Palisades Center Drive, West Nyack, NY 10994 | 2008-02-15 |
| Find all providers in zip 10994 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.