Active NPI
Brian Chang, DACM, DAC, LAC
- Acupuncturist
- Hoboken, NJ
National Provider Identifier
1801029400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00067700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00067700 | NJ | MD | Acupuncturist |
| 004061-1 | NY | MD | Acupuncturist |
| DA00345 | RI | MD | Acupuncturist |
| 000486 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverpoint Wellness Group Hoboken LLC | Acupuncturist | Current | Accepting new patients |
| Riverpoint Wellness Group LLC | Acupuncturist | Current | 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.
-
- Acupuncturist
- Hoboken, NJ
- NPI 1265865901
-
- Acupuncturist
- Fort Lee, NJ
- NPI 1851035232
-
- Acupuncturist
- Hoboken, NJ
- NPI 1689006900
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.