DR. KALIQ TRIMBLE CHANG MD
NPI 1013151471
Anesthesiology - Pain Medicine in West Orange, NJ

Active since April 28, 2009Opted out of Medicare · through Apr 1, 2028
475 PROSPECT AVE, STE 110, WEST ORANGE, NJ 07052(973) 419-0200 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kaliq Trimble Chang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KALIQ TRIMBLE CHANG MD (NPI 1013151471) is an individual pain medicine provider in West Orange, New Jersey, licensed in New York (270617) and active in the NPI registry since April 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013151471
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. KALIQ TRIMBLE CHANGCredential: MD
Location Address475 PROSPECT AVE, STE 110West Orange, NJ 07052
Mailing Address475 Prospect Ave, Ste 110West Orange, NJ 07052 · (973) 419-0200
Sole ProprietorYes
Enumeration DateApril 28, 2009
Last NPPES UpdateDecember 30, 2015
NPI 1013151471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in NY · 270617
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 270617 (NY)
475 PROSPECT AVE, West Orange, NJ 07052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kaliq Trimble Chang Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Anesthesiology
475 PROSPECT AVE, SUITE 110
WEST ORANGE, NJ 07052
Clinic/Center (Ophthalmologic Surgery)
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Specialist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Specialist
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Clinic/Center (Ambulatory Surgical)
475 PROSPECT AVE
WEST ORANGE, NJ 07052
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
475 PROSPECT AVE, SUITE 110
WEST ORANGE, NJ 07052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaliq Chang's NPI number?

The NPI number for Kaliq Chang is 1013151471. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Kaliq Chang located?

Kaliq Chang practices at 475 Prospect Ave Ste 110, West Orange, NJ 07052. The listed phone number is (973) 419-0200.

What is Kaliq Chang's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kaliq Chang enrolled in Medicare?

No. Kaliq Chang has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kaliq Chang was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.