ROBERT CHANG (NPI# 1306969415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306969415 |
| Entity Type | Individual |
| Full Name | ROBERT CHANG |
| Credential | D.D.S., M.D. |
| Practice Address |
5 Palisades Dr Suite 210 Albany NY 12205-6433 |
| Practice Telephone | 5183480634 |
| Practice Fax Number | 5184263221 |
| Mailing Telephone | 5183480634 |
| Mailing Fax Number | 5184263221 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
053589 | NY | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 247005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02926121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033669650 | Robert S Chang | Physical Therapist | 2347 Jeffrey Rd, Camarillo, CA 93012-8239 | 2016-10-06 |
| 1487724308 | Robert Chang | Psychiatry & Neurology | 8265 Sunset Blvd, 204, West Hollywood, CA 90046 | 2006-11-08 |
| 1417482035 | Robert Chang | Emergency Medicine | 2 Stone Harbor Blvd, Cape May Court House, NJ 08210-2138 | 2017-04-21 |
| 1194954453 | Robert Chang | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2009-07-08 |
| 1144351586 | Robert S. Chang | Psychologist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2007-03-08 |
| 1801960190 | Robert Y Chang | Psychiatry & Neurology | 35 Elm Street, New Haven, CT 06510-2023 | 2006-11-20 |
| 1063591410 | Robert C Chang | Pathology | 45th Ave At Parsons Blvd, Flushing, NY 11355 | 2006-11-06 |
| 1720177686 | Robert Chang | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2006-10-11 |
| 1992894885 | Robert Chang | Internal Medicine | 2057 Compton Ave, Suite 102, Corona, CA 92881-7287 | 2006-10-11 |
| 1417044280 | Robert T Chang | Ophthalmology | 900 Blake Wilbur Dr, Rm W3002, Palo Alto, CA 94304-2201 | 2006-10-05 |
| Street Address |
5 PALISADES DR SUITE 210 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846274 | Dennis A Gort | Internal Medicine | 5 Palisades Dr, Suite 100, Albany, NY 12205-6433 | 2005-07-21 |
| 1124426424 | Meagan Goff | Nurse Practitioner | 5 Palisades Dr, Suite 100, Albany, NY 12205-6433 | 2014-12-18 |
| 1760893077 | Michelle Schneiderheinze | Nurse Practitioner | 5 Palisades Dr, Suite 200, Albany, NY 12205-6433 | 2014-05-09 |
| 1235474313 | St Peters Health Partners Medical Associates | Internal Medicine | 5 Palisades Dr, Albany, NY 12205-6433 | 2012-11-30 |
| 1346535499 | Adam Severin Lammly | Internal Medicine | 5 Palisades Dr, Suite 200, Albany, NY 12205-6433 | 2011-06-16 |
| 1700119575 | Fahad Farooq | Internal Medicine | 5 Palisades Dr, Albany, NY 12205 | 2009-09-11 |
| 1548439805 | Michael Evan Gelfman | Dentist | 5 Palisades Dr, Suite 210, Albany, NY 12205-6433 | 2008-02-20 |
| 1457542417 | Jeremy Lassetter | Dentist | 5 Palisades Dr, Suite 210, Albany, NY 12205-6433 | 2007-08-06 |
| 1831303569 | Adirondack Oral & Maxillofacial Surgery | Dentist | 5 Palisades Dr, Suite 210, Albany, NY 12205-6433 | 2007-05-10 |
| 1053531053 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 5 Palisades Dr, Suite 200, Albany, NY 12205-6433 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1770741514 | Dr Stephen E Carney Dr Christopher H Reilly Dr Bret D Gelder | Dentist | 10 Airline Dr, Suite 204, Albany, NY 12205-1025 | 2008-05-29 |
| 1891902896 | Howerton, Hopkin & Kennedy LLC | Dentist | 1040 24th Ave Sw, Albany, OR 97321-7539 | 2007-05-17 |
| 1689763914 | Marvin L Allen Jr. | Dentist | 316 Fifth Avenue, Albany, GA 31701 | 2006-10-12 |
| 1962590604 | Frank Havelook White IIi | Dentist | 706 N Slappey Blvd, Albany, GA 31701 | 2006-10-10 |
| 1760573307 | Michael John Doucet | Dentist | 419 San Pablo Ave, Albany, CA 94706 | 2006-09-27 |
| 1992269799 | A Khalil Dds Apc | Dentist | 419 San Pablo Ave, Albany, CA 94706-1124 | 2019-01-25 |
| 1508229402 | Mohamed Bayoumy | Dentist | 2 Executive Park Dr, Albany, NY 12203-3700 | 2016-03-30 |
| 1508121534 | Timothy M Adams | Dentist | 7 Southwoods Blvd, Albany, NY 12211-2514 | 2012-07-05 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on ROBERT CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.