Joanne Meejin Chang, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Little Silver, NJ
NPI 1336312271 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1336312271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 25MA09113300 (NJ)
- Practice address
- 34 Sycamore Ave
Suite 2a
Little Silver, NJ 07739 - Phone
- (732) 747-9310
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Rutgers New Jersey Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- OB Hospitalist Services New Jersey PA
Practice addresses (Care Compare)
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (864) 908-3530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130909000732 | NJ | Practitioner - Obstetrics/Gynecology | 7214171412 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| OB Hospitalist Services New Jersey, PA | Obstetrics & Gynecology | Current |
Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
7650 River Rd
Ste 230
North Bergen, NJ 07047
Phone (201) 224-8831
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- jchang272318@epicdirect.rwjbh.org
- joanne.chang@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 25MA09113300 | NJ | Yes |
Addresses
Primary practice location
34 Sycamore Ave
Suite 2a
Little Silver, NJ 07739
Mailing address
34 Sycamore Ave
Suite 2a
Little Silver, NJ 07739
Phone (732) 747-9310
NPI Registry JSON
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1336312271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 SYCAMORE AVE",
"address_2": "SUITE 2A",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "07739",
"telephone_number": "732-747-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SYCAMORE AVE",
"address_2": "SUITE 2A",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "07739",
"telephone_number": "732-747-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JOANNE",
"middle_name": "MEEJIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA09113300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Silver, NJ
- Roy L Carman III
- Donna Castellano
- Jane Nancy Catania
- Kathy V Cavallini
- Janet Cervalli
- Matthew Checinski
- Samantha Lynn Ciparis
- Lee S Clay
- Elizabeth Cleerdin
- Coastal Women'S Medical
All providers in Little Silver, NJ · Obstetrics & Gynecology Physician 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 Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.