Active NPIIndividual providerSole proprietor

Dr. Chang B Son, MD

Dermatology in Englewood, New Jersey

NPI Number1063493898
Practice location
200 Grand Ave 201, Englewood, NJ 07631-4363
Fax
201-944-3804
Last updated
February 12, 2023

Chang Bae Son is a Dermatology based in Englewood, NJ. Chang Bae Son practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Chang Bae Son is 1063493898 and holds a License No. MD425589 (PA). The current practice location address for Chang Bae Son is 200 Grand Ave 201, Englewood, NJ 07631-4363 and can be reached out via phone at 201-944-3800 and via fax at 201-944-3804.

Provider Profile Details

NPI Number
1063493898
Provider Name
Chang Bae Son
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Grand Ave 201, Englewood, NJ 07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2005
Last Update Date
February 12, 2023
Certification Date
February 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Grand Ave 201
Englewood, NJ 07631-4363
Zip
07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
200 Grand Ave 201
Englewood, NJ 07631-4363
City
Englewood
State
NJ
Zip
07631-4363
Phone Number
201-944-3800
Fax Number
201-944-3804

License Information

License Number (1)
MD425589
License State (1)
PA
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
25MA08185100
License State (2)
NJ
Taxonomy (2)
Dermatology · 207N00000X · 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 Dr. Chang B Son, MD?

The NPI number of Dr. Chang B Son, MD is 1063493898. It was assigned on November 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Chang B Son, MD?

Dr. Chang B Son, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in PA under license number MD425589.

Where does Dr. Chang B Son, MD practice?

The practice location is 200 Grand Ave 201, Englewood, NJ 07631-4363. The office can be reached at 201-944-3800 (phone) or 201-944-3804 (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 1063493898 directly on the NPPES registry website.

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