Active NPIIndividual providerSole proprietor

Mr. Keron Chang, RN

Registered Nurse in New Rochelle, New York

NPI Number1417308636
Practice location
72 Soundview St, New Rochelle, NY 10805-3917
Fax
—
Last updated
June 29, 2016

Keron Chang is a Registered Nurse based in New Rochelle, NY. Keron Chang practices in New Rochelle, NY and has the professional credentials of RN. The NPI Number for Keron Chang is 1417308636 and holds a License No. 654941 (NY). The current practice location address for Keron Chang is 72 Soundview St, New Rochelle, NY 10805-3917 and can be reached out via phone at 917-816-6724.

Provider Profile Details

NPI Number
1417308636
Provider Name
Keron Chang
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
72 Soundview St, New Rochelle, NY 10805-3917
Phone Number
917-816-6724
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2016
Last Update Date
June 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Soundview St
New Rochelle, NY 10805-3917
Zip
10805-3917
Phone Number
917-816-6724
New Rochelle, NY 10805Get directions →

Provider Business Mailing Address Details

Address
72 Soundview St
New Rochelle, NY 10805-3917
City
New Rochelle
State
NY
Zip
10805-3917
Phone Number
917-816-6724

License Information

License Number
654941
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Keron Chang, RN?

The NPI number of Mr. Keron Chang, RN is 1417308636. It was assigned on June 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Keron Chang, RN?

Mr. Keron Chang, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 654941.

Where does Mr. Keron Chang, RN practice?

The practice location is 72 Soundview St, New Rochelle, NY 10805-3917. The office can be reached at 917-816-6724 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417308636 directly on the NPPES registry website.

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