MIMI A. CHANG (NPI# 1992718530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992718530 |
| Entity Type | Individual |
| Full Name | MIMI A. CHANG |
| Credential | M.D. |
| Practice Address |
15 James St Ste 2 Florham Park NJ 07932-1346 |
| Mailing Address |
22 Ridge Rd Green Brook NJ 08812-1830 |
| Practice Telephone | 9738223338 |
| Practice Fax Number | 9738228098 |
| Mailing Telephone | 7328681038 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MA64973 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871986943 | Mimi Chang | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2015-03-12 |
| Street Address |
15 JAMES ST STE 2 |
| City | FLORHAM PARK |
| State | NJ |
| Zip Code | 07932-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1780174524 | Ghada Cieri | Registered Nurse | 30 B Vreeland Road, Suite 200, Florham Park, NJ 07932 | 2018-05-17 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1942756580 | Elizabeth Savino | Social Worker | 10 Hanover Road, Florham Park, NJ 07932 | 2016-09-01 |
| 1790182426 | John A Carollo Dmd Pa | Clinic/Center | 131 Columbia Turnpike, Suite 2a, Florham Park, NJ 07932 | 2014-11-24 |
| 1306265673 | Rachel Myra Fitz | Anesthesiology | 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 | 2014-04-15 |
| 1922442615 | Allison Ann Sopko | Pediatrics | 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 | 2013-04-24 |
| 1770869315 | Nexpc1 LLC | Internal Medicine | 128 Columbia Turnpike, Suite 101, Florham Park, NJ 07932 | 2011-10-27 |
| 1528356391 | Daniel Timothy Streeter | Physical Therapist | 30 Vreeland Rd., Building A Suite #110, Florham Park, NJ 07932 | 2011-07-14 |
| 1558672964 | Anna Marie Seavey | Dietitian, Registered | 83 Hanover Road, Suite 190, Florham Park, NJ 07932 | 2010-06-30 |
| Find all providers in zip 07932 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | FLORHAM PARK |
| Zip Code | 07932 |
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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.