Individual provider Active NPI

Judy Lee Jang, MD

  • Nephrology Physician
  • Fall River, MA
National Provider Identifier
1134310055
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
265788 Issued in MA
Practice address
1030 President Ave
Suite 304
Fall River, MA 02720-5923
Phone
(508) 235-6427
Fax
(508) 235-6654
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 265788 MA Primary

Addresses

Primary practice location

1030 President Ave
Suite 304
Fall River, MA 02720-5923

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160719002100 MA Practitioner - NephrologyPractitioner - Internal Medicine 4587828793 Reassigns benefits to 2 organizations
I20160720002339 RI Practitioner - NephrologyPractitioner - Internal Medicine 4587828793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fall River Nephrology PCGroup PAC ID 1850465022, 3 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1030 President Ave
RM 304
Fall River, MA 02720-5923
Phone (508) 235-6427

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781

2444 E Main Rd
Southcoast Physicians Group Inc
Portsmouth, RI 02871-4025
Phone (401) 683-4817

Hospital & facility affiliations

  • Fall River Kidney Center LLC Dialysis facility, Fall River, MA, CCN 222516
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Southcoast Hospitals Group Inc. Inpatient rehabilitation facility, Fall River, MA, CCN 22T074

Merit-based Incentive Payment System (MIPS)

Final score
99.75 of 100Reported as group
Quality
95.01
Promoting interoperability
100
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265788MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fall River Nephrology, P.C. Nephrology CurrentSince May 1, 2016 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Jun 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Jun 1, 2026 Accepting new patients

Locations

1030 President Ave
Ste 304
Fall River, MA 02720
Phone (508) 235-6427

1030 President Ave
Rm 304
Fall River, MA 02720
Phone (508) 235-6222

1030 President Ave
Rm 306
Fall River, MA 02720

22 Hurst Ln
Tiverton, RI 02878
Phone (401) 624-4403

Interoperability endpoints

  • Direct secure messaging: jjang36049@direct.southcoast.org

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1134310055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE",
            "address_2": "SUITE 304",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "508-235-6427",
            "fax_number": "508-235-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "JUDY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "265788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.