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

Jae Whee Chang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770284549

Jae Whee Chang is a Student in an Organized Health Care Education/Training Program in Long Island City, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2244 Jackson Ave Apt 905
Long Island City, NY 11101-9411
Phone: (650) 833-9882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 064326-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770284549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address5203 Center Blvd Apt 1225, Long Island City, NY 11101-6525

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