Fu Zen Chang, MD

Individual provider Active NPI Family Medicine Physician · Aston, PA

NPI 1104841394 · NPPES record last updated Oct 28, 2013

Key facts

NPI
1104841394
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD027429E (PA)
Practice address
5904 Chichester Ave
Aston, PA 19014
Phone
(610) 459-2373
Fax
(610) 874-1337
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5904 Chichester Ave
Aston, PA 19014-2327
Phone (610) 459-2373

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital · Media, PA · CCN 390222

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050510001064 PA Practitioner - Family Practice 6709826605 Practice locations: Aston, PA

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD027429EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fu-Zen Chang MD Family Medicine Past
since Aug 14, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD027429E PA Yes

Addresses

Primary practice location

5904 Chichester Ave
Aston, PA 19014

Mailing address

5904 Chichester Ave
Aston, PA 19014
Phone (610) 459-2373

Other providers in Aston, PA

All providers in Aston, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.