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KENNETH S CHANG MD PA NPI 1245398270


NPI Information

NPI: 1245398270
Provider Name: KENNETH S CHANG MD PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3144 KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 792-9339
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KENNETH S CHANG MD PA is an obstetrics gynecology in Jersey City, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. KENNETH S CHANG MD PA NPI is 1245398270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3144 KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 792-9339
Fax: (201) 792-9818

The provider's authorized official is Kenneth S Chang .
The authorized official title is President and has the following contact phone number (201) 792-9339.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMA38097NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1118400150336MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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