Organization Active NPI

Fang-Chin Chiang, PC

  • General Practice Physician
  • New Milford, NJ
National Provider Identifier
1306044425
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MB06764100 Issued in NJ
Legal business name
FANG-CHIN CHIANG, PC
Practice address
769 River Rd
New Milford, NJ 07646-3030
Phone
(201) 943-2273
Fax
(201) 215-9548
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Fang-Chin Chiang, DO
Title
Owner
Phone
(201) 261-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 25MB06764100 NJ Primary

Addresses

Primary practice location

769 River Rd
New Milford, NJ 07646-3030

Mailing address

PO Box 3345
Fort Lee, NJ 07024-9345
Phone (201) 261-0255

Other identifiers 1

IdentifierTypeStateIssuer
8144491MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1306044425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3345",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070249345",
            "telephone_number": "201-261-0255",
            "fax_number": "201-845-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463030",
            "telephone_number": "201-943-2273",
            "fax_number": "201-215-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANG-CHIN CHIANG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "FANG-CHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-261-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB06764100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8144491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.