James Kenneth Chang, M.D.
Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Jersey City, NJ
NPI 1053501916 · NPPES record last updated Dec 6, 2019
Key facts
- NPI
- 1053501916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 25MA08717800 (NJ)
- Practice address
- 3144 Kennedy Blvd
Jersey City, NJ 07306-3524 - Phone
- (201) 792-9339
- Fax
- (201) 792-9818
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- All Be Healthy LLC
Practice addresses (Care Compare)
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone (732) 724-2596
3144 Kennedy Blvd
Jersey City, NJ 07306-3524
Phone (201) 943-7670
Hospital & facility affiliations
- Kessler Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000798 | NJ | Practitioner - Physical Medicine and Rehabilitation |
7517082803 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254259 | NY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Bridge Spine & Wellness Center,PA | Pain Medicine | Current |
Accepting new patients |
| All Be Healthy LLC | Pain Medicine | Current |
Accepting new patients |
| All Be Healthy LLC | Pain Medicine | Current |
Accepting new patients |
| Kenneth S Chang MD PA | Past |
Accepting new patients |
Locations
1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982
150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600
210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322
144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895
300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282
300 Perrine Rd
Ste 305
Old Bridge, NJ 08857
Phone (732) 316-5895
765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709
525 State Route 35
Tinton Falls, NJ 07701
Phone (732) 747-6833
1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 25MA08717800 | NJ | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 254259 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 254259 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA08717800 | NJ | Yes |
Addresses
Primary practice location
3144 Kennedy Blvd
Jersey City, NJ 07306-3524
Mailing address
3144 Kennedy Blvd
Jersey City, NJ 07306-3524
Phone (201) 943-7670
Other practice location 1
3077 Hylan Blvd
Staten Island, NY 10306-4113
Phone (201) 943-7670
Other practice location 2
605 Broad Ave Ste 201
Ridgefield, NJ 07657-1604
Phone (201) 943-7670
Other providers in Jersey City, NJ
- Florence Y Chan
- Ritu Chandak
- Charles Chandler
- Vijay Ilango Chandran
- Justin Chaney
- Katie Yeu Chang
- Kenneth S. Chang
- Kuang Min Chang
- Lorena G Chang
- Ying Chieh Tina Chang
All providers in Jersey City, NJ · Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.