Individual provider Active NPI

Rebecca B Chang

  • Acupuncturist
  • Hoboken, NJ
National Provider Identifier
1356993992
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00140200 Issued in NJ
Practice address
720 Monroe St Ste C501B
Hoboken, NJ 07030-6338
Phone
(908) 860-8287
NPI assigned
Jul 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00140200 NJ Primary

Addresses

Primary practice location

720 Monroe St Ste C501B
Hoboken, NJ 07030-6338

Mailing address

234 Suydam Ave Apt 514
Jersey City, NJ 07304-3387
Phone (908) 938-5884

Other practice location 1

234 Suydam Ave Apt 514
Jersey City, NJ 07304-3387
Phone (908) 938-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00140200NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1356993992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SUYDAM AVE APT 514",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043387",
            "telephone_number": "908-938-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONROE ST STE C501B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306338",
            "telephone_number": "908-860-8287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Suydam Ave Apt 514",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073043387",
            "country_code": "US",
            "telephone_number": "908-938-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "REBECCA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00140200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.