Individual provider Active NPI

Ernest Whanwook Chang, M.D. PH.D.

  • Cardiovascular Disease Physician
  • Westwood, NJ
National Provider Identifier
1861927956
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
296481 Issued in NY
Practice address
333 Old Hook Rd Ste 200
Westwood, NJ 07675-3200
Phone
(617) 877-8158
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 296481 NY Primary

Addresses

Primary practice location

333 Old Hook Rd Ste 200
Westwood, NJ 07675-3200

Mailing address

166 Lynette Dr
Fort Lee, NJ 07024-2106
Phone (617) 877-8158

Other practice location 1

1 Sears Dr Ste 202
Paramus, NJ 07652-3510
Phone (617) 877-8158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230921002870 NY Practitioner - Cardiovascular Disease (Cardiology) 9638413800 Reassigns benefits to 1 organization
I20240627001571 NJ Practitioner - Cardiovascular Disease (Cardiology) 9638413800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296481NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
New York University Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Valley Physician Services PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Sears Dr
Ste 202
Paramus, NJ 07652
Phone (201) 575-2810

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

333 Old Hook Rd
Ste 200
Westwood, NJ 07675
Phone (201) 664-0201

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: ernest.chang.1@5622.direct.athenahealth.com
  • Direct secure messaging: wchang673748@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1861927956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LYNETTE DR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242106",
            "telephone_number": "617-877-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD STE 200",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "617-877-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sears Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523510",
            "country_code": "US",
            "telephone_number": "617-877-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERNEST",
        "middle_name": "WHANWOOK",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "296481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.