Active NPIIndividual providerSole proprietor

Mr. Jae Y Chang, LAC

Acupuncturist in Ridgefield, New Jersey

NPI Number1124387287
Practice location
579 Bergen Blvd Fl 2, Ridgefield, NJ 07657-2032
Fax
—
Last updated
March 28, 2023

Jae Yong Chang is an Acupuncturist based in Ridgefield, NJ. Jae Yong Chang practices in Ridgefield, NJ and has the professional credentials of LAC. The NPI Number for Jae Yong Chang is 1124387287 and holds a License No. 25MZ00030400 (NJ). The current practice location address for Jae Yong Chang is 579 Bergen Blvd Fl 2, Ridgefield, NJ 07657-2032 and can be reached out via phone at 201-945-4372.

Provider Profile Details

NPI Number
1124387287
Provider Name
Jae Yong Chang
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
579 Bergen Blvd Fl 2, Ridgefield, NJ 07657-2032
Phone Number
201-945-4372
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2012
Last Update Date
March 28, 2023
Certification Date
March 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
579 Bergen Blvd Fl 2
Ridgefield, NJ 07657-2032
Zip
07657-2032
Phone Number
201-945-4372
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
2486 5TH St
Fort Lee, NJ 07024-7840
City
Fort Lee
State
NJ
Zip
07024-7840
Phone Number
201-945-4372

License Information

License Number (1)
25MZ00030400
License State (1)
NJ
Taxonomy (1)
Acupuncturist · 171100000X · Primary
License Number (2)
001627
License State (2)
NY
Taxonomy (2)
Acupuncturist · 171100000X

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. Jae Y Chang, LAC?

The NPI number of Mr. Jae Y Chang, LAC is 1124387287. It was assigned on May 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Jae Y Chang, LAC?

Mr. Jae Y Chang, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00030400.

Where does Mr. Jae Y Chang, LAC practice?

The practice location is 579 Bergen Blvd Fl 2, Ridgefield, NJ 07657-2032. The office can be reached at 201-945-4372 (phone).

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 1124387287 directly on the NPPES registry website.

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