Individual provider Active NPI

Cindy C Chang, MD

  • Allergy & Immunology Physician
  • Teaneck, NJ
National Provider Identifier
1396772349
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA07424000 Issued in NJ
Practice address
553 Cedar LN Ste a
Teaneck, NJ 07666-1712
Phone
(201) 836-6400
Fax
(201) 836-0399
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA07424000 NJ Primary

Addresses

Primary practice location

553 Cedar LN Ste a
Teaneck, NJ 07666-1712

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
0345822MedicaidNJ
092692ZKRPOtherNJMEDICARE

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
I20050729000668 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7214964055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of NJ PCGroup PAC ID 3274855499, 6 clinicians

Practice addresses (Care Compare)

553 Cedar LN
Suite a
Teaneck, NJ 07666-1712
Phone (201) 836-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of NJ, PC Allergy & Immunology CurrentSince Dec 1, 2017 Accepting new patients
Hudson Valley Neurosurgical Associates, LLC PastSince Oct 1, 2016 Accepting new patients
Cindy Chang,MD Allergy & Immunology PastSince Jan 1, 1990 Accepting new patients

Locations

553 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 836-6400

547 Union Blvd
Totowa, NJ 07512
Phone (973) 720-9920

504 Hamburg Tpke
Ste B103
Wayne, NJ 07470
Phone (973) 790-6707

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1396772349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 CEDAR LN STE A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661712",
            "telephone_number": "201-836-6400",
            "fax_number": "201-836-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CINDY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA07424000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345822",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "092692ZKRP",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.