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Deactivated NPI 1801165089 Deactivated / Inactive NPI Male Practitioner

Dr. Fa Chang , MD

General Practice • Fresh Meadows, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fa Chang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 18, 2011
NPI Deactivation Date July 19, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Fa Chang, MD was a registered General Practice practicing in Fresh Meadows, NY. Throughout an active medical career spanning 6 years, Dr. Chang provided care at the practice location at 4844 189TH ST until profile deactivation on 2017-07-19.

Practice Location & Contact Primary Location

Practice Address

4844 189th St

Fresh Meadows, NY 113651206

Telephone 7182246179

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fresh Meadows, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Fresh Meadows, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 143839-1

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 19, 2017

Record deactivated on July 19, 2017

NPI Profile Active December 18, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2011

Registered at 4844 189TH ST, FRESH MEADOWS, NY 113651206 (Tel: 7182246179)

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Updated Business Mailing Address December 18, 2011

Registered at 4844 189TH ST, FRESH MEADOWS, NY 113651206 (Tel: 7182246179)

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Provider Name / Credentials Updated December 18, 2011

Recorded as FA CHANG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2011

General Practice (License #143839-1 in NY)

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Initial NPI Registration & Enumeration December 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801165089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2011
Last Update: December 18, 2011
Deactivation Date: July 19, 2017

Mailing Address

4844 189th St

Fresh Meadows, NY 113651206

Phone: 7182246179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.