Mimi A. Chang, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MA64973 Issued in NJ

Practice address

15 James St Ste 2
Florham Park, NJ 07932-1346

Phone

(973) 822-3338

Fax

(973) 822-8098

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bergen Medical Sports & Spine, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Paramus, NJ
  • NPI 1962722595
  Medicare reassignment NPD
• Eastwest Paincare Center LLP

  • Physical Medicine & Rehabilitation Physician
  • Florham Park, NJ
  • NPI 1508585886
  Medicare reassignment NPD
• Onelife Health LLC

  • Physical Medicine & Rehabilitation Physician
  • Langhorne, PA
  • NPI 1790538080

  NJ

  Medicare reassignment NPD
• Paincare & Rehab Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Florham Park, NJ
  • NPI 1316133481
  NPD (past) Authorized official
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)
• The Back Pain Center, LLC

  • Specialist
  • Waldwick, NJ
  • NPI 1437256658
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992718530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIDGE RD",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121830",
            "telephone_number": "732-868-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JAMES ST STE 2",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321346",
            "telephone_number": "973-822-3338",
            "fax_number": "973-822-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MIMI",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "MA64973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cerebral Palsy of North Jersey, Inc.
• Diana Lorena Ceron, LPC
• Frank Cerutti
• Ashish Chandwani, M.D.
• Eric I-Yun Chang, MD
• Leila Chayut, LCSW
• Alyssa Cheng
• Cheshire Home Inc
• Kathryn Colelli Chiarolanzio, MD
• Helen Pinghao Chiu, D.M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.