Fred Chang, D.C., L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00600700 Issued in NJ

Practice address

106 E Jimmie Leeds Rd
Galloway, NJ 08205-9508

Phone

(609) 748-8779

Fax

(609) 652-6687

NPI assigned

Oct 3, 2006

Sex

Male

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

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Chiropractic and Acupuncture

  • Chiropractor
  • Galloway, NJ
  • NPI 1992160816
  Medicare reassignment NPD Authorized official
• Frank S Dimauro MD PA

  • Otolaryngology Physician
  • Galloway, NJ
  • NPI 1740454990
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1083708663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059508",
            "telephone_number": "609-748-8779",
            "fax_number": "609-652-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059508",
            "telephone_number": "609-748-8779",
            "fax_number": "609-652-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "FRED",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00600700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cella-Roe, LCSW
• Brett Cerniglia, MD, MPH
• Salvatore Joseph Cerniglia, DO
• Joshua Cervone
• Emily Grace Chalbert
• Pei-Yuan Chang, PHYSICAL THERAPIST
• Mark J. Chelder, PH.D.
• Patricia Ann Chichester, OTR
• Christopher K Chong, MD
• Christopher K Chong MD PC

• Chiropractor in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.