MEDICARE: DR. CYRIAC NCHANG CRNP, DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R187299	MD

General Provider Information

NPI Number	:	1427589878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYRIAC NCHANG CRNP, DNP

Provider Business Mailing Address
First Line	:	2 UNIVERSITY PLZ STE 204
Second Line	:
City	:	HACKENSACK
State	:	NJ
Zip	:	07601-6211
Country	:	US
Telephone Number	:	551-295-8223
Fax Number	:	301-326-1923

Provider Business Practice Location Address
First Line	:	7610 CARROLL AVE STE 260
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-326-1916
Fax Number	:	301-326-1923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	09/12/2025

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