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KEITH C CHANG MD PLLC
NPI 1164762449
Clinic/Center in Brooklyn, NY

Active since February 22, 2013CLIA 33D2092250 · Waiver
849 57TH ST STE 3, BROOKLYN, NY 11220(718) 872-5580(718) 872-5663 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Keith C Chang Md Pllc NPPES

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

KEITH C CHANG MD PLLC (NPI 1164762449) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Sherine Ngoi, Manager, as its authorized official.

NPPES Registry Identity

NPI1164762449
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKEITH C CHANG MD PLLC
Location Address849 57TH ST STE 3Brooklyn, NY 11220-3798
Mailing Address849 57th St Ste 3Brooklyn, NY 11220-3798 · (718) 872-5580 · Fax (718) 872-5663
Phone(718) 872-5580
Fax(718) 872-5663
Organization SubpartNo
Authorized OfficialSherine NgoiManager · (212) 965-8883
Enumeration DateFebruary 22, 2013
✔ NPI 1164762449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 193442-1
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
849 57TH ST STE 3, Brooklyn, NY 11220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2092250

Keith C Chang, MD, PLLC · Brooklyn, NY
Active · expires Mar 1, 2027
CLIA Number33D2092250
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDr. Keith C. Chang
Laboratory Phone(718) 872-5580
Laboratory LocationKeith C Chang, MD, PLLC849 57th Street, 3rd Floor, Brooklyn, NY 11220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Keith C Chang MD PLLC's NPI number?

The NPI number for Keith C Chang MD PLLC is 1164762449. It was assigned to this organization in the NPPES registry on February 22, 2013.

Where is Keith C Chang MD PLLC located?

Keith C Chang MD PLLC is located at 849 57th St Ste 3, Brooklyn, NY 11220. The listed phone number is (718) 872-5580.

What is Keith C Chang MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Keith C Chang MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2092250) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keith C Chang MD PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Keith C Chang MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith C Chang MD PLLC was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.