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

Wootaek Chang

Individual provider Nephrology Physician · NPI 1437167590

Wootaek Chang is a Nephrology in Brooklyn, New York. Qualified in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
43
Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone: (718) 250-8022
Fax: (718) 250-6179
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 171373 (NY)

Record details

NPI number1437167590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESAugust 9, 2013
Mailing address50 Woodland Rd, Roslyn, NY 11576-1434

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brooklyn