JOHN JAE YOUNG CHANG (NPI# 1447279039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447279039 |
| Entity Type | Individual |
| Full Name | JOHN JAE YOUNG CHANG |
| Credential | MD |
| Practice Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Practice Telephone | 2039325711 |
| Practice Fax Number | 2039373474 |
| Mailing Telephone | 2039325711 |
| Mailing Fax Number | 2039373474 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
041357 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667889 | John W Chang | Physical Medicine & Rehabilitation | 18351 Beach Blvd, Ste. G, Huntington Beach, CA 92648-1345 | 2006-07-25 |
| 1720057052 | John W. Chang | Surgery | 2600 S Douglas Rd, Ste 1103, Coral Gables, FL 33134-6143 | 2006-03-17 |
| 1720063852 | John Kingsley Chang | Radiology | 1079 Ikena Cir, Honolulu, HI 96821-2557 | 2005-12-13 |
| 1427053370 | John Chun-lu Chang | Otolaryngology | 757 Norland Avenue, Suite 203, Chambersburg, PA 17201-4231 | 2005-06-16 |
| 1073516027 | John Chu-hong Chang | Specialist | 169 N Middletown Rd, Pearl River, NY 10965-2029 | 2005-05-23 |
| 1386258630 | John Chang | Pharmacist | 5975 W Chandler Blvd, Chandler, AZ 85226-3422 | 2020-09-03 |
| 1003469362 | John Byungwook Chang | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-16 |
| 1114447919 | John David Chang | Pharmacist | 330 S 9th St, Pittsburgh, PA 15203-1266 | 2017-06-22 |
| 1780962357 | John Chang | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2011-07-29 |
| 1487984001 | John F. Chang | Pharmacist | 300 W Veterans Blvd, Big Spring, TX 79720-5566 | 2010-01-04 |
| Street Address |
950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1134728413 | Matthew Thomas Walsh | Physical Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-19 |
| 1184221467 | Victoria Leigh Dasilva | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-08 |
| 1467069716 | Steven Lemieux | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-29 |
| 1629685581 | Ramandeep Kaur | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1972110864 | Lorena Rivera Mitchell | Social Worker | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1225644966 | Neil Bidon | Registered Nurse | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1952916181 | Courtney Burgazli | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-14 |
| 1316552862 | Amanda Victoria Loomis | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306063011 | Namrata Krishnan | Internal Medicine | 950 Campbell Ave, West Haven, CT 06516-2770 | 2007-04-20 |
| 1427146976 | Jianchao Xu | Internal Medicine | 950 Campbell Ave, Bldg #3, Room E203, West Haven, CT 06516-2770 | 2006-10-10 |
| 1356440937 | Susan Theresa Crowley | Internal Medicine | 950 Campbell Ave, Va Ct Hcs (111f), West Haven, CT 06516-2770 | 2006-09-21 |
| 1063523082 | Gary Vincent Desir | Internal Medicine | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-08-31 |
| 1548245046 | David Steven Geller | Internal Medicine | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962941583 | Robert Bailey | Internal Medicine | 5 Loeffler Rd, Bloomfield, CT 06002-2255 | 2017-02-15 |
| 1144518861 | Andrea Roche Recinos | Internal Medicine | 111 Osborne St Ste 210, Danbury, CT 06810-6031 | 2011-07-14 |
| 1386805299 | Sujata Kale | Internal Medicine | 411 Robin Ct, Cheshire, CT 06410-2427 | 2008-06-23 |
| 1881855021 | Peter Uri Feig | Internal Medicine | 396 Vineyard Point Rd, Guilford, CT 06437-3255 | 2008-06-20 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1205944089 | Anthony J Cusano II | Internal Medicine | 140 Grandview Avenue, Suite L02, Waterbury, CT 06708 | 2006-08-29 |
| 1518937622 | Nazanine Khairkhah | Internal Medicine | 49 Lake Ave Ste 1b, Greenwich, CT 06830-4501 | 2006-01-23 |
| 1205816311 | Jennifer L. Rivers | Internal Medicine | 550 Main Street, Hartford City Town Hall, Hartford, CT 06103 | 2006-01-17 |
| 1558346056 | Daniel I Geisser | Internal Medicine | 55 Lock St, Yale Health, New Haven, CT 06511-3603 | 2005-12-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.