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New York Medicaid lookup

One provider matched this Medicaid ID.

New York Medicaid ID 02362274 resolves to a single NPI record. Open the full profile for complete detail.

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JC
NPI · 1073516027 · Active
John Chang M.D.
Ophthalmology Physician · Pearl River, New York
Active
NPI
1073516027
Medicaid (NY)
02362274
Taxonomy
207W00000X
State
New York

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 132998987NY· Issued by TAX ID
  • P00014839NY· Issued by PALMETTO GBA RAILROAD MEDICARE

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.