Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Chang, DO

Individual provider Family Medicine Physician · NPI 1164743308

Dr. Lisa Chang, DO is a Family Practice in Astoria, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2007, 19 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4101 30th Ave
Astoria, NY 11103-2908
Phone: (718) 204-9886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 251882 (NY)

Record details

NPI number1164743308
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 22, 2010
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address4101 30th Ave, Astoria, NY 11103-2908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2007 (19 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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