Michael P Chang, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA58239 Issued in NJ

Practice address

769 River Rd
New Milford, NJ 07646-3030

Phone

(201) 986-1777

NPI assigned

Jul 21, 2006

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment Care Compare group NPD
• Palisade Health Associates, P a

  • Hematology & Oncology Physician
  • New Milford, NJ
  • NPI 1265525679
  Authorized official Same address or phone
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD
• New Jersey/Pennsylvania Em-I Medical Services PC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1235521444
  NPD (past)
• Paramus Emergency Physicians LLC

  • Emergency Medicine Physician
  • Paramus, NJ
  • NPI 1902817372
  NPD (past)
• Paramus Emergency Services, PC

  • Emergency Medicine Physician
  • Paramus, NJ
  • NPI 1861449613
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1417978719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MAYFAIR RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521626",
            "telephone_number": "201-261-0255",
            "fax_number": "201-857-3638"
        },
        {
            "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": "201-986-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563501",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190502",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA58239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2025817",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P997430",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7280904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8072916003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "EXP1K7136",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "48125",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5100333",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mae Lorraine Ercilla Carugda, APRN
• Center for Family Support, New Jersey, Inc.
• Michael Walter Chabora, RPH
• Pitaya Chaitum, RDMS, RDCS
• Kang G Chan, MD MPH
• Adoracion Briones Chao, APN-C
• Charmwellness LLC
• Fang-Chin Chiang, DO
• Charlotte Mon Chuayana
• Susan Cohn, SLP

• Hematology & Oncology Physician in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.