Provider Demographics
NPI:1831352871
Name:CHANG, ERIC I-YUN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:I-YUN
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SCHULZ DR STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-6745
Mailing Address - Country:US
Mailing Address - Phone:732-741-0970
Mailing Address - Fax:732-747-2606
Practice Address - Street 1:83 HANOVER RD STE 260
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1520
Practice Address - Country:US
Practice Address - Phone:732-426-3420
Practice Address - Fax:732-747-2606
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4468042086S0122X, 2086S0122X
NJ25MA084368002086S0122X
CAA108556208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB130441Medicare PIN
TX281956701Medicaid
TX8CX342OtherBCBS