Individual provider Active NPI

Andrew Chang

  • Cardiovascular Disease Physician
  • New Brunswick, NJ
National Provider Identifier
1225534738
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA12151800 Issued in NJ
Practice address
125 Paterson St Ste 6100
New Brunswick, NJ 08901-1962
Phone
(732) 235-6560
Fax
(732) 235-6530
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 25MA12151800 NJ Primary

Addresses

Primary practice location

125 Paterson St Ste 6100
New Brunswick, NJ 08901-1962

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (732) 937-8939

Other practice location 1

1 Baylor Plz # Bcm620
Houston, TX 77030-3411
Phone (713) 798-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240613000909 NJ Practitioner - Cardiovascular Disease (Cardiology) 0446792824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Scleroderma ProgramGroup PAC ID 5193764991, 390 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (732) 937-8939

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928

1 Robert Wood Johnson Place
Robert Wood Johnson Hospital
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 595-2646

125 Paterson St
New Brunswick, NJ 08901-1962

18 Centre Dr
Monroe, NJ 08831-1501

210 Somerset St
New Brunswick, NJ 08901-1942

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12151800NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

18 Centre Dr
Ste 104
Monroe Township, NJ 08831
Phone (609) 655-5175

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

Interoperability endpoints

  • Direct secure messaging: achang392727@epicdirect.rwjbh.org

Organizations & group practices 4

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 5

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1225534738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161",
            "telephone_number": "732-937-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST STE 6100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6560",
            "fax_number": "732-235-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz # Bcm620",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA12151800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.