Individual provider Active NPI

Yujie Chang, O.D.

  • Optometrist
  • Toms River, NJ
National Provider Identifier
1891246294
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008527 Issued in NY
Practice address
2 Rte 37 W Ste G5
Toms River, NJ 08753-6588
Phone
(732) 797-0104
Fax
(732) 797-0130
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008527 NY Primary

Addresses

Primary practice location

2 Rte 37 W Ste G5
Toms River, NJ 08753-6588

Mailing address

9 Glenbrook CT
Lawrence, NJ 08648-5556
Phone (917) 494-7048

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425002171 NJ Practitioner - Optometry 2769746874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008527NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince Mar 13, 2018 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Mar 13, 2018 Accepting new patients

Locations

802 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 858-5615

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

2703 Mount Holly Rd
Ste 2
Burlngtn Twp, NJ 08016
Phone (609) 948-3086

818 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (856) 662-2740

251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300

550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600

1410 Parkway Ave
Ste H
Ewing, NJ 08628
Phone (609) 771-0088

1400 Parkway Ave
Ste H
Ewing, NJ 08628

125 18th St
Ste A5
Jersey City, NJ 07310
Phone (551) 276-5462

748 Route 73 S
Ste C
Marlton, NJ 08053
Phone (856) 296-5925

1040 Nixon Dr
Mount Laurel, NJ 08054
Phone (856) 778-0936

475 Nassau Park Blvd
Princeton, NJ 08540
Phone (609) 243-8902

2 Route 37 W
Toms River, NJ 08753
Phone (732) 286-7800

2 Route 37 W
Ste G5
Toms River, NJ 08753
Phone (732) 797-0104

255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000

873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900

Organizations & group practices 2

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1891246294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLENBROOK CT",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086485556",
            "telephone_number": "917-494-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RTE 37 W STE G5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536588",
            "telephone_number": "732-797-0104",
            "fax_number": "732-797-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YUJIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.