National Provider Identifier Database

JOHNNY A CHANG, M.D. – NPI #1619975182
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

JOHNNY A CHANG, M.D.
410 SAYBROOK RD
MIDDLETOWN, CT06457-4777
Phone: 860-358-2270
Fax: 860-358-2275
Website:
Specialty Taxonomy Code
* Urology 208800000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JOHNNY A CHANG

NPI Number 1619975182
Credentials M.D.
Entity Individual
Enumeration date 07/08/2005
Last updated 05/05/2026 - About a month ago
Sole proprietor1 No
Identifiers
  • CT License #: 041177
  • CT Medicaid: 1411777
  • CT Other: 3159551 AETNA PROVIDER ID
  • CT Other: 00141177700 BLUE CARE FAMILY PLAN ID
  • CT Other: 010041177CT01 BLUE SHIELD PROVIDER ID
  • CT Other: 041177 CONNECTICARE PROVIDER ID
  • CT Other: 2V4421 HEALTHNET PROVIDER ID
  • CT Other: P2882366 OXFORD PROVIDER ID
  • CT Other: 0000231610801 UNITED HEALTHCARE ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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