Eun Hae Chang, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA10729500 Issued in NJ

Practice address

180 Avenue at the CMN Ste 8a
Shrewsbury, NJ 07702-4569

Phone

(732) 868-8622

Fax

(732) 862-8687

NPI assigned

Aug 13, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Northwestern University Feinberg Medical School, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24400/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GEFADD/Endpoint/GEFADD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monmouth ENT Associates, LLC

  • Otolaryngology Physician
  • Shrewsbury, NJ
  • NPI 1912672510
  Medicare reassignment NPD Authorized official
• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033

  Otolaryngology

  Medicare reassignment NPD
• Liberty Med Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
  • NPI 1386279552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1023484052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 AVENUE AT THE CMN STE 8A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024569",
            "telephone_number": "732-868-8622",
            "fax_number": "732-862-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 AVENUE AT THE CMN STE 8A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024569",
            "telephone_number": "732-868-8622",
            "fax_number": "732-862-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EUN",
        "middle_name": "HAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA10729500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Otolaryngology LLC
• Justyna M Cerefin, PA-C
• Champion Health, LLC
• Jennifer Champion
• Jennifer Lynne Chaney, M.S.W LCSW
• Kimberly R Charette, OTR/L
• Charles M. Cummins, OD, PA
• Andrew T Chen, MD
• Mugurel S Cherciu, M.D.
• Suman Cherian

• Otolaryngology Physician in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.