DR. BONG CHANG (NPI# 1720064827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720064827 |
| Entity Type | Individual |
| Full Name | DR. BONG CHANG |
| Credential | MD |
| Practice Address |
1140 Route 72 W Manahawkin NJ 08050-2412 |
| Mailing Address |
1020a E Boal Ave Boalsburg PA 16827-1509 |
| Practice Telephone | 6099782194 |
| Mailing Telephone | 8142378627 |
| Mailing Fax Number | 8142380083 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MA04440400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH HMO/POS | 0231571000 | 01 |
| NJ | UNIVERSITY HEALTH PLAN | 28536 | 01 |
| NJ | OXFORD | P2063667 | 01 |
| NJ | AETNA HMO | 2351609 | 01 |
| NJ | 0128805 | 05 | |
| NJ | AETNA PPO | 4319635 | 01 |
| NJ | AMERIHEALTH PPO | 400377 | 01 |
| NJ | HEALTHNET | 1K5038 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427131150 | Bong S Chang | Pediatrics | 3671 W 6th St, Los Angeles, CA 90020-3026 | 2006-10-24 |
| Street Address |
1140 ROUTE 72 W |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193234 | Coastal Anesthesia Associates, PC | Specialist | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2005-06-13 |
| 1992337505 | Hmh Hospitals Corporation | Pharmacy | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2020-02-11 |
| 1619528551 | Hilary Dawn Reiser | Nurse Practitioner | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-09-23 |
| 1558910984 | Michelle Lee Eisenhauer | Nurse Practitioner | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-09-09 |
| 1952950792 | Deborah Demarco | Nurse Practitioner | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-09-04 |
| 1295381978 | Michael J Maier | Pharmacist | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-08-17 |
| 1447718531 | Route Intensivists Services LLC | Internal Medicine | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-03-07 |
| 1912462706 | Youmna Nafady | Social Worker | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2019-02-05 |
| 1679042857 | Kirk Medical Group | Internal Medicine | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2018-11-18 |
| 1447727243 | Dana Marie Forrest | Social Worker | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2018-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
| 1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
| 1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
| 1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
| 1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
| 1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
| Find all providers in zip 08050 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043485303 | David J D'ambrosio | Radiology | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2008-04-28 |
| 1336162015 | Hemangini R Shah | Radiology | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2006-07-25 |
| 1639155211 | Southern Ocean Co Radiation Oncology | Radiology | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2005-12-16 |
| 1093791683 | Lawrence R Coia | Radiology | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2005-12-16 |
| 1538145123 | Joseph P Lattanzi | Radiology | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| Find all providers with the same taxonomy | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
Please comment or provide details below to improve the information on DR. BONG CHANG.
| 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.