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CENTERHEALTH MEDICAL PLLC
NPI 1710549779
Family Medicine in Flushing, NY

Active since June 30, 2019CLIA 33D2167683 · Waiver
3808 UNION ST STE 3K, FLUSHING, NY 11354(718) 578-1318 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Centerhealth Medical Pllc NPPES

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

CENTERHEALTH MEDICAL PLLC (NPI 1710549779) is a healthcare organization registered as a family medicine in Flushing, New York and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Wan Tan Chang, Manager, as its authorized official.

NPPES Registry Identity

NPI1710549779
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTERHEALTH MEDICAL PLLC
Location Address3808 UNION ST STE 3KFlushing, NY 11354-5670
Mailing Address14000 E 980 North RdGeorgetown, IL 61846-7511 · (718) 578-1318
Phone(718) 578-1318
Organization SubpartNo
Authorized OfficialWan Tan ChangManager · (718) 578-1318
Enumeration DateJune 30, 2019
✔ NPI 1710549779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3808 UNION ST STE 3K, Flushing, NY 11354
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerhealth Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Centerhealth Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wan Tan Chang, M.D.
Family Practice
NPI 1174866859
3808 UNION ST STE 3K
Flushing, NY 11354
(718) 886-3681
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2167683

Centerhealth Medical PLLC · Flushing, NY
Active · expires Jun 12, 2027
CLIA Number33D2167683
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorDr. Wan Tan Chang
Laboratory Phone(718) 886-3681
Laboratory LocationCenterhealth Medical PLLC38-08 Union Street - Ste 3K, Flushing, NY 11354
CLIA data matches this NPI record on: Name
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 Centerhealth Medical PLLC's NPI number?

The NPI number for Centerhealth Medical PLLC is 1710549779. It was assigned to this organization in the NPPES registry on June 30, 2019.

Where is Centerhealth Medical PLLC located?

Centerhealth Medical PLLC is located at 3808 Union St Ste 3K, Flushing, NY 11354. The listed phone number is (718) 578-1318.

What is Centerhealth Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Centerhealth Medical PLLC enrolled in Medicare?

Yes. Centerhealth Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerhealth Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Centerhealth Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centerhealth Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2167683) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerhealth Medical PLLC was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.