NPI Registry.org

Chang Jonathan Maung Tin Physician, Pc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHANG JONATHAN MAUNG TIN PHYSICIAN, PC15988492752024-11-09

The organization Chang Jonathan Maung Tin Physician, Pc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1598849275. Registration indicates Chang Jonathan Maung Tin Physician, Pc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationCHANG JONATHAN MAUNG TIN PHYSICIAN, PC
Practice Office Address5303 8TH AVE
BROOKLYN, NY US
Practice Office Telephone7189721777
Practice Office Fax7188547086
Mailing Address5303 8TH AVE
BROOKLYN, NY 112203201 US
Business Telephone7189721777
Business Fax8888151263
Authorized OfficialVERONICA CHANG, OFFICE MANAGER
7189721777
HPT Codes
CodePractice
License No
State
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
203365
NY
193200000X MULTGroup Code
OPI Codes
01704241 MEDICAID NY
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