DR. STEPHANIE CHANG DO
NPI 1174218952
Student in an Organized Health Care Education/Training Program in Flushing, NY

Q: What is Stephanie Chang's NPI number?

The NPI number for Stephanie Chang is 1174218952. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Q: What is Stephanie Chang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Chang was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 07, 2023PECOS Enrolled

5645 MAIN ST, FLUSHING, NY 11355(718) 670-1572 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Apr 7, 2023 (2 updates tracked since 2023).

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About Dr. Stephanie Chang Do NPPES

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

DR. STEPHANIE CHANG DO (NPI 1174218952) is an individual student in an organized health care education/training program in Flushing, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1174218952

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. STEPHANIE CHANGCredential: DO

Location Address5645 MAIN STFlushing, NY 11355-5045

Mailing Address975 San Pasqual St Apt 214Pasadena, CA 91106-3318 · (909) 634-0384

Phone(718) 670-1572

Sole ProprietorYes

Enumeration DateApril 7, 2023

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1174218952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

5645 MAIN ST, Flushing, NY 11355

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Secondary Practice Location 1

Location 115855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Chang Do 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.

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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.

ANA M GHELECHKHANI PA

Physician Assistant (Medical)