Chang W. Lee, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA65071 Issued in NJ

Legal business name

CHANG W. LEE, M.D., P.C.

Practice address

464 Hudson Ter
Suite 100
Englewood Cliffs, NJ 07632-2902

Phone

(201) 541-6800

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Chang W Lee, M.D.

Title

President

Phone

(201) 541-6800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1114113594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE 100",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-541-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE 100",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-541-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG W. LEE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-541-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA65071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sam Chang, D.C
• Wonyol Chang, RPH
• Change PT LLC
• Charline Veytsman Ma CCC-SLP
• Charon Services

• Internal Medicine Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.