Coastal Chiropractic and Acupuncture

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00600700 Issued in NJ

Legal business name

COASTAL CHIROPRACTIC AND ACUPUNCTURE

Practice address

106 E Jimmie Leeds Rd
Galloway, NJ 08205-9508

Phone

(609) 748-8779

Fax

(609) 652-6687

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Fred Chang, DC, L. ACNPI 1083708663

Title

Owner

Phone

(609) 748-8779

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Chang, D.C., L.AC.

  • Chiropractor
  • Galloway, NJ
  • NPI 1083708663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1992160816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059508",
            "telephone_number": "609-748-8779",
            "fax_number": "609-652-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059508",
            "telephone_number": "609-748-8779",
            "fax_number": "609-652-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-748-8779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, L. AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00600700",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00032700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Prapawiwat, MD
• CNL Galloway, LLC (Spring Village at Galloway)
• CNL Galloway, LLC (Spring Village at Galloway)
• Coastal Calm LLC
• Coastal Chiropractic
• Joseph Durso Coffineau, M.D.
• Unique Monia Cohen, LCSW
• Nicole Collins, LCSW
• Community Options Enterprises, Inc.
• Community Options, Inc

• Chiropractor in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.