Kenneth S Chang Md Pa

LBN: Kenneth S Chang Md Pa
Kenneth S Chang Md Pa is an health care organization with primary practice located at 3144 Kennedy Blvd , Jersey City NJ 07306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Kenneth S Chang Md Pa can be contacted via phone (201) 792-9339, or through Chang, Kenneth S via phone (201) 792-9339.

Contact Information

Primary practice address
3144 Kennedy Blvd Jersey City NJ 07306
Phone: (201) 792-9339
Fax: (201) 792-9818
Website:
Map and Directions
Authorized official contact:
Name: Chang, Kenneth S Doctor of Medicine (MD)
Phone: (201) 792-9339

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MA38097 New Jersey

Profile Details

NPI number 1245398270
LBN Legal business name Kenneth S Chang Md Pa
DBA Doing business as
Authorized official Chang, Kenneth S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245398270 NPPES
New Jersey MEDICAID 118400150336

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