Jae Yong Chang, L.AC.
Individual provider Active NPI Acupuncturist · Ridgefield, NJ
NPI 1124387287 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1124387287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 25MZ00030400 (NJ)
- Practice address
- 579 Bergen Blvd FL 2
Ridgefield, NJ 07657-2032 - Phone
- (201) 945-4372
- NPI assigned
- May 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00030400 | NJ | MD | Acupuncturist |
| 001627 | NY | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changs Acupuncture & Herbs, PC | Acupuncturist | Current |
Accepting new patients |
Locations
579 Bergen Blvd
Fl 2
Ridgefield, NJ 07657
Phone (201) 945-4372
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00030400 | NJ | Yes |
| Acupuncturist | 171100000X | 001627 | NY |
Addresses
Primary practice location
579 Bergen Blvd FL 2
Ridgefield, NJ 07657-2032
Mailing address
2486 5TH St
Fort Lee, NJ 07024-7840
Phone (201) 945-4372
Other providers in Ridgefield, NJ
- Shella Zaragoza Cajita
- Paul Anthony Calinog
- Maryvonne Claude Cardell
- Suleika M Cardoza
- Sergio Andres Chamorro
- Kyung Chang
- Changs Acupuncture & Herbs, PC
- Chiropractic Healthcare Associates
- Choi Medical Group P.C.
- Mal Bong Choi
All providers in Ridgefield, NJ · Acupuncturist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.