Gregory Chang, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00016100 Issued in NJ

Practice address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Phone

(908) 277-8880

Fax

(908) 277-8796

NPI assigned

Sep 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• CPC Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgewater, NJ
  • NPI 1366047144
  NPD
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Morristown, NJ
  • NPI 1477591360
  NPD (past)
• Kimball Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Lakewood, NJ
  • NPI 1912265604
  NPD (past)
• Newton Inpatient Medical Associates LLC

  dba Observation Specialists of NJ

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1205174216
  NPD (past)
• Rahway Emergency Medical Associates, LLC

  • Emergency Medicine Physician
  • Rahway, NJ
  • NPI 1891026217
  NPD (past)
• Wayne Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Wayne, NJ
  • NPI 1366677825
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477657120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390717",
            "telephone_number": "973-740-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8880",
            "fax_number": "908-277-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GREGORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00016100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cepak, CRNA
• Maria L Cesari-Redondo, PT, MSPT
• Diana Chan, M.D.
• Jeanny Chan, CA
• Maria Gabriela Chancay, M.D.
• Karen O Chang
• Margaret Barbara Chanin, MS, SLP
• Jheanell Charles, P.A.
• Beata Chauhan, D.O.
• Edith Chen

• Physician Assistant in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.