1. Home
  2. Directory
  3. New York
  4. Elmont
  5. Nurse Practitioner
  6. NPI Profile

MR. RYAN CHANG NP
NPI 1366029605
Nurse Practitioner - Psychiatric/Mental Health in Elmont, NY

Active since March 24, 2021PECOS Enrolled
282 KELLER AVE, ELMONT, NY 11003(516) 406-9048 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryan Chang Np NPPES

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

MR. RYAN CHANG NP (NPI 1366029605) is an individual psychiatric/mental health provider in Elmont, New York, licensed in New York (403259) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366029605
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RYAN CHANGCredential: NP
Location Address282 KELLER AVEElmont, NY 11003-3111
Mailing Address282 Keller AveElmont, NY 11003-3111 · (516) 406-9048
Phone(516) 406-9048
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1366029605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403259
282 KELLER AVE, Elmont, NY 11003
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7810424462
PECOS Enrollment IDI20241220002934
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ryan Chang's NPI number?

The NPI number for Ryan Chang is 1366029605. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Ryan Chang located?

Ryan Chang practices at 282 Keller Ave, Elmont, NY 11003. The listed phone number is (516) 406-9048.

What is Ryan Chang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ryan Chang enrolled in Medicare?

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

Is Ryan Chang affiliated with any hospitals?

According to CMS data, Ryan Chang is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Chang was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.