NPIMap

Organization Active NPI

Alice Chang, MD LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
National Provider Identifier
1083309793
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALICE CHANG, MD LLC
Practice address
525 Route 73 N
Suite 104
Marlton, NJ 08053
Phone
(609) 200-0211
NPI assigned
Apr 7, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Dr. Alice Chang, MDNPI 1811044373
Title
Owner
Phone
(609) 200-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

525 Route 73 N
Suite 104
Marlton, NJ 08053

Mailing address

970 Haddon Ave Unit 8774
Collingswood, NJ 08108-8038
Phone (609) 200-0211

National Provider Directory

National Provider Directory

Locations

970 Haddon Ave
Unit 8774
Collingswood, NJ 08108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1083309793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HADDON AVE UNIT 8774",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081088038",
            "telephone_number": "609-200-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-200-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE CHANG, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-200-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.