Jasper Oliver Chang, AT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00211600 Issued in NJ

Practice address

Caldwell Fieldhouse
Faculty Road
Princeton, NJ 08544-0001

Phone

(609) 258-3527

Fax

(609) 258-7045

NPI assigned

Nov 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1053718569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ESTATES BLVD",
            "address_2": "APT. #13",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102109",
            "telephone_number": "562-895-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALDWELL FIELDHOUSE",
            "address_2": "FACULTY ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3527",
            "fax_number": "609-258-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JASPER",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "AT, ATC, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001366",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00211600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Weight Management, LLC
• Kathleen Frances Cessaro, RPT, MS
• Brianna Rose Chachoute, PT, DPT
• Ramya Chandrasekaran
• Frances Y Chang, MD
• Jenny Charalambous, LAC
• Charles T Bachus, PA
• Deirdre Chatlos, ATC
• Savneet Kaur Chattha, MD
• Manisha Chauhan

• Athletic Trainer in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.