SOO JIN CHANG (NPI# 1396079794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396079794 |
| Entity Type | Individual |
| Full Name | SOO JIN CHANG |
| Practice Address |
3920 Greenpoint Ave 6a Sunnyside NY 11104-4532 |
| Mailing Address |
39-20 Greenpoint 6a Sunnyside NY 11104 |
| Practice Telephone | 8478940939 |
| Mailing Telephone | 8478940939 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
054688 | NY | Dental Providers |
| Street Address |
3920 GREENPOINT AVE 6A |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1336603489 | City Medical of Upper East Side, Pllc | Clinic/Center | 47-24 Queens Blvd, Sunnyside, NY 11104 | 2019-01-23 |
| 1972012201 | Matthew Koziolek | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 | 2017-09-29 |
| 1376052555 | Clara Velma Haylock | Licensed Practical Nurse | 4528 40th Ave, 2r, Sunnyside, NY 11104 | 2017-09-20 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497318 | Chris Cho | Dentist | 4415 43rd Ave Apt E5, Sunnyside, NY 11104-2255 | 2015-09-18 |
| 1073918835 | Greg Norell, Dds | Dentist | 2201 E Edison Rd, Ste 2, Sunnyside, WA 98944-9214 | 2014-10-22 |
| 1184779019 | Dustin S Shin | Dentist | 4810 Skillman Ave, 1fl, Sunnyside, NY 11104-1026 | 2007-01-23 |
| 1285786863 | Navjot S Khurana Dmd Ps | Dentist | 110 W Yakima Valley Hwy, Sunnyside, WA 98944 | 2007-01-17 |
| 1861559866 | Gregory John Norell | Dentist | 2201 East Edison Ave, Ste 2, Sunnyside, WA 98944 | 2007-01-02 |
| 1467547059 | Robert A Larson | Dentist | 412 S 13th St, Sunnyside, WA 98944-1571 | 2006-10-03 |
| 1487747895 | Satish Patole | Dentist | 4701 Queens Blvd Ste 407, Sunnyside, NY 11104-1600 | 2006-09-30 |
| 1942214754 | Hana Dental Care P.C. | Dentist | 3931 47th Ave, Sunnyside, NY 11104-3576 | 2006-07-28 |
| 1104845841 | Jung Ki Kim X | Dentist | 1519 E Edison Ave, Sunnyside, WA 98944-1624 | 2006-07-19 |
| 1154385771 | Martin & Rodriguez Dental Center Pllc | Dentist | 1723 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2006-04-12 |
| Find all providers in SUNNYSIDE | ||||
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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.