Healthcare Provider Details

I. General information

NPI: 1881450880
Provider Name (Legal Business Name): MAGIC RX PLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E PALISADE AVE UNIT C
ENGLEWOOD CLIFFS NJ
07632-1830
US

IV. Provider business mailing address

650 E PALISADE AVE UNIT C
ENGLEWOOD CLIFFS NJ
07632-1830
US

V. Phone/Fax

Practice location:
  • Phone: 201-944-1002
  • Fax: 201-944-6336
Mailing address:
  • Phone: 201-944-1002
  • Fax: 201-944-6336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. WONYOL CHANG
Title or Position: PRESIDENT
Credential: RPH
Phone: 201-944-1002