Individual provider Active NPI

Cary H Chiang, M.D.

  • Emergency Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1841231016
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA06927400 Issued in NJ
Practice address
30 Prospect Avenue
Hackensack, NJ 07601
Phone
(551) 996-4614
Fax
(201) 968-1866
NPI assigned
Jun 9, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA06927400 NJ Primary

Addresses

Primary practice location

30 Prospect Avenue
Hackensack, NJ 07601

Mailing address

307 South Evergreen Avenue
Woodbury, NJ 08096
Phone (201) 289-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080916000235 NJ Practitioner - Emergency Medicine 8527135664 Reassigns benefits to 4 organizations
I20150716002433 NY Practitioner - Emergency Medicine 8527135664 Reassigns benefits to 2 organizations
I20160129002044 CT Practitioner - Emergency Medicine 8527135664 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06927400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 15, 2015 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. CurrentSince Mar 1, 2015 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Meadowlands Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Pegasus Emergency Group PA Emergency Medicine Past Accepting new patients

Locations

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1841231016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SOUTH EVERGREEN AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "201-289-6803",
            "fax_number": "201-891-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-4614",
            "fax_number": "201-968-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "CARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA06927400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.