| Chang Jonathan Maung Tin Physician, PC | |
|
5303 8th Ave Brooklyn NY 11220-3201 | |
| (718) 972-1777 | |
| (718) 854-7086 |
| Full Name | Chang Jonathan Maung Tin Physician, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5303 8th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Veronica Chang (OFFICE MANAGER) |
| Authorized Official Contact | 7189721777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Jonathan Maung Tin Physician, PC 5303 8th Ave Brooklyn NY 11220-3201 Ph: (718) 972-1777 | Chang Jonathan Maung Tin Physician, PC 5303 8th Ave Brooklyn NY 11220-3201 Ph: (718) 972-1777 |
| NPI Number | 1598849275 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Medicare PECOS PAC ID | 6800787441 |
|---|---|
| Medicare Enrollment ID | O20061213000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598849275 | NPI | - | NPPES |
| 01704241 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203365 (New York) | Primary |
| Provider Name | Jonathan Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114968385 PECOS PAC ID: 2769481092 Enrollment ID: I20061213000450 |
| Provider Name | Nilar Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942621263 PECOS PAC ID: 1052636750 Enrollment ID: I20150220000051 |
| Provider Name | Kyaw Zaw Lin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730542531 PECOS PAC ID: 3779015599 Enrollment ID: I20241018000055 |
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