MR. JAE YONG CHANG (NPI# 1124387287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387287 |
| Entity Type | Individual |
| Full Name | MR. JAE YONG CHANG |
| Credential | L.AC. |
| Practice Address |
579 Bergen Blvd Fl 2 Ridgefield NJ 07657-2032 |
| Mailing Address |
2486 5th St Fort Lee NJ 07024-7840 |
| Practice Telephone | 2019454372 |
| Mailing Telephone | 2019454372 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 001627 | NY | Other Service Providers |
| Y | 171100000X | Acupuncturist | 25MZ00030400 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124426663 | Jae Chang | Pharmacist | 6017 Forest View Rd Apt 3d, Lisle, IL 60532-3370 | 2014-12-16 |
| 1831320977 | Jae Ki Chang | Pharmacist | 211 Pueblo Way, Vallejo, CA 94591-8220 | 2009-08-06 |
| 1528258704 | Jae Kyung Chang | Chiropractor | 1240 116th Ave Ne, 101, Bellevue, WA 98004-3815 | 2007-07-25 |
| Street Address |
579 BERGEN BLVD FL 2 |
| City | RIDGEFIELD |
| State | NJ |
| Zip Code | 07657-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508383308 | Ridgefield Board of Education | Respite Care | 555 Chestnut Street, Ridgefield, NJ 07657 | 2017-08-23 |
| 1871035154 | Nj Happy Care, Inc. | Durable Medical Equipment & Medical Supplies | 321 Broad Ave Suite 106, Ridgefield, NJ 07657 | 2016-11-17 |
| 1215203724 | Chan-kyu Kim | Dentist | 709 Bergen Blvd., Ridgefield, NJ 07657 | 2012-03-29 |
| 1871775940 | Borough of Ridgefield | Public Health or Welfare | Slocum Avenue, Ridgefield, NJ 07657 | 2007-11-30 |
| 1932321759 | Dongkyun Daniel Kim | Dentist | 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 | 2007-05-02 |
| 1992880413 | Walter E Haemmerle | Dentist | 845 Broad Ave, Ridgefield, NJ 07657 | 2006-10-25 |
| 1548279482 | Dennis Barbieri | Dentist | 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 | 2006-08-07 |
| 1861406746 | Agop Artinian | Internal Medicine | 477 Bergen Blvd, Ridgefield, NJ 07657 | 2006-07-28 |
| 1366969701 | Steven Jin | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 | 2017-08-26 |
| 1578000196 | Park Dental Arts, LLC | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657 | 2017-01-20 |
| Find all providers in zip 07657 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990024 | Broad Ave Chiropractic LLC | Acupuncturist | 669 Broad Ave Ste 204, Ridgefield, NJ 07657-1631 | 2020-07-23 |
| 1457919888 | Eunkyung Choi | Acupuncturist | 650 Bruce St # A, Ridgefield, NJ 07657-1850 | 2019-05-31 |
| 1154845436 | Maria Hunter | Acupuncturist | 21511 Nw 9th Ave, Ridgefield, WA 98642-9332 | 2017-07-28 |
| 1699189084 | Acucenter | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657-1431 | 2014-06-13 |
| 1053698571 | Kim Blaufuss | Acupuncturist | 1711 N Heron Dr, Ridgefield, WA 98642-9684 | 2011-11-11 |
| 1831226059 | Samantha Jacobs | Acupuncturist | 10 Roberts Ln, Ridgefield, CT 06877-4071 | 2007-02-27 |
| 1023156098 | Min-beom Jin | Acupuncturist | 709 Bergen Blvd Fl 2, Ridgefield, NJ 07657-1431 | 2007-02-02 |
| 1437764453 | Angela Giddings | Acupuncturist | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-09-15 |
| 1366969701 | Steven Jin | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 | 2017-08-26 |
| 1164898938 | Han Acupuncture LLC | Acupuncturist | 845 Broad Ave, Ridgefield, NJ 07657-1002 | 2015-08-17 |
| Find all providers in RIDGEFIELD | ||||
| City | RIDGEFIELD |
| Zip Code | 07657 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.