Individual provider Active NPI

Brian Chang, DACM, DAC, LAC

  • Acupuncturist
  • Hoboken, NJ
National Provider Identifier
1801029400
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00067700 Issued in NJ
Practice address
36-42 Newark St Ste 203
Hoboken, NJ 07030-5655
Phone
(201) 754-0104
NPI assigned
Aug 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X DA00345 RI
Acupuncturist 171100000X 000486 CT
Acupuncturist 171100000X 25MZ00067700 NJ Primary
Acupuncturist 171100000X 004061-1 NY

Addresses

Primary practice location

36-42 Newark St Ste 203
Hoboken, NJ 07030-5655

Mailing address

36-42 Newark St Ste 203
Hoboken, NJ 07030-5655
Phone (201) 754-0104

Other practice location 1

260 Old River Road
#3
Edgewater, NJ 07020-1433
Phone (646) 484-9276

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
25MZ00067700NJMDAcupuncturist
004061-1NYMDAcupuncturist
DA00345RIMDAcupuncturist
000486CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Riverpoint Wellness Group Hoboken LLC Acupuncturist Current Accepting new patients
Riverpoint Wellness Group LLC Acupuncturist CurrentSince Apr 24, 2022 Accepting new patients
Dr. Brian Chang Acupuncture LLC Acupuncturist Past Accepting new patients

Locations

1625 Lemoine Ave
Ste 208
Fort Lee, NJ 07024
Phone (646) 484-9276

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": "1251504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1801029400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST STE 203",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305655",
            "telephone_number": "201-754-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36-42 NEWARK ST STE 203",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305655",
            "telephone_number": "201-754-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Old River Road",
            "address_2": "#3",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201433",
            "country_code": "US",
            "telephone_number": "646-484-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DACM, DAC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-29",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00345",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000486",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00067700",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004061-1",
            "primary": false
        }
    ],
    "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 Apr 22, 2022; 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.