Jae Yong Chang, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00030400 Issued in NJ

Practice address

579 Bergen Blvd FL 2
Ridgefield, NJ 07657-2032

Phone

(201) 945-4372

NPI assigned

May 10, 2012

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changs Acupuncture & Herbs, PC

  • Acupuncturist
  • Ridgefield, NJ
  • NPI 1275237281
  NPD Authorized official

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1124387287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 5TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247840",
            "telephone_number": "201-945-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BERGEN BLVD FL 2",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572032",
            "telephone_number": "201-945-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JAE",
        "middle_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00030400",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shella Zaragoza Cajita, P.T.
• Paul Anthony Calinog, RPT
• Maryvonne Claude Cardell, BCBA
• Suleika M Cardoza
• Sergio Andres Chamorro
• Kyung Chang, LCSW
• Changs Acupuncture & Herbs, PC
• Chiropractic Healthcare Associates
• Choi Medical Group P.C.
• Mal Bong Choi, DDS

• Acupuncturist in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.