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SAMANTHA CHANG RN, NP
NPI 1821633868
Nurse Practitioner - Family in Shirley, NY

Active since November 13, 2019
10 HAPPY ACRES DR, SHIRLEY, NY 11967(631) 605-9006 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Chang Rn, Np NPPES

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

SAMANTHA CHANG RN, NP (NPI 1821633868) is an individual family provider in Shirley, New York, licensed in California (F04250544) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1821633868
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA CHANGCredential: RN, NP
Location Address10 HAPPY ACRES DRShirley, NY 11967-3015
Mailing Address10 Happy Acres DrShirley, NY 11967-3015 · (631) 605-9006
Phone(631) 605-9006
Sole ProprietorNo
Enumeration DateNovember 13, 2019
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1821633868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F04250544
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 414605 (NY)
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 760221 (NY)
10 HAPPY ACRES DR, Shirley, NY 11967
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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 Samantha Chang's NPI number?

The NPI number for Samantha Chang is 1821633868. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Samantha Chang located?

Samantha Chang practices at 10 Happy Acres Dr, Shirley, NY 11967. The listed phone number is (631) 605-9006.

What is Samantha Chang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samantha Chang was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.