Active NPIIndividual providerSole proprietor

Mr. Jasper O Chang, AT, ATC, CES

Specialist/Technologist, Athletic Trainer in Princeton, New Jersey

NPI Number1053718569
Practice location
Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001
Fax
609-258-7045
Last updated
September 4, 2015

Jasper Oliver Chang is a Specialist/Technologist, Athletic Trainer based in Princeton, NJ. Jasper Oliver Chang practices in Princeton, NJ and has the professional credentials of AT, ATC, CES. The NPI Number for Jasper Oliver Chang is 1053718569 and holds a License No. 2601001366 (MI). The current practice location address for Jasper Oliver Chang is Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001 and can be reached out via phone at 609-258-3527 and via fax at 609-258-7045.

Provider Profile Details

NPI Number
1053718569
Provider Name
Jasper Oliver Chang
Credential
AT, ATC, CES
Provider Entity Type
Individual
Gender
Male
Address
Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001
Phone Number
609-258-3527
Fax Number
609-258-7045
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2014
Last Update Date
September 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
Caldwell Fieldhouse
Faculty Road
Princeton, NJ 08544-0001
Zip
08544-0001
Phone Number
609-258-3527
Fax Number
609-258-7045
Princeton, NJ 08544Get directions →

Provider Business Mailing Address Details

Address
186 Estates Blvd
Apt. #13
Hamilton, NJ 08610-2109
City
Hamilton
State
NJ
Zip
08610-2109
Phone Number
562-895-4306

License Information

License Number (1)
2601001366
License State (1)
MI
License Number (2)
25MT00211600
License State (2)
NJ
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jasper O Chang, AT, ATC, CES?

The NPI number of Mr. Jasper O Chang, AT, ATC, CES is 1053718569. It was assigned on November 26, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Jasper O Chang, AT, ATC, CES?

Mr. Jasper O Chang, AT, ATC, CES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MI under license number 2601001366.

Where does Mr. Jasper O Chang, AT, ATC, CES practice?

The practice location is Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001. The office can be reached at 609-258-3527 (phone) or 609-258-7045 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053718569 directly on the NPPES registry website.

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