Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY CHANG
NPI 1124720255
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since March 21, 2023PECOS Enrolled
80 SEYMOUR ST, HARTFORD, CT 06102(860) 545-0000 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Tiffany Chang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY CHANG (NPI 1124720255) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsfield.

NPPES Registry Identity

NPI1124720255
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY CHANG
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address725 North StPittsfield, MA 01201-4109
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 21, 20262 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
NPI 1124720255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
80 SEYMOUR ST, Hartford, CT 06102

Secondary Practice Location 1

Location 1725 North StPittsfield, MA 01201-4109 · Phone (413) 395-7513

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany Chang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Chang's NPI number?

The NPI number for Tiffany Chang is 1124720255. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Tiffany Chang located?

Tiffany Chang practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 545-0000.

What is Tiffany Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tiffany Chang enrolled in Medicare?

Yes. Tiffany Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Chang was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.