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EUN JI JANG MD
NPI 1962922641
Pediatrics - Pediatric Infectious Diseases in Providence, RI

Active since June 22, 2017PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-8360(401) 444-5650 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Jun 29, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Eun Ji Jang Md NPPES

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

EUN JI JANG MD (NPI 1962922641) is an individual pediatric infectious diseases provider in Providence, Rhode Island, licensed in Rhode Island (LP04884) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962922641
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameEUN JI JANGCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address874 Purchase StNew Bedford, MA 02740-6232 · (508) 992-6553 · Fax (508) 984-8420
Phone(401) 444-8360
Fax(401) 444-5650
Sole ProprietorYes
Enumeration DateJune 22, 2017
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1962922641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in RI · LP04884
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 1012964 (MA)
593 EDDY ST, Providence, RI 02903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eun Ji Jang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eun Ji Jang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater New Bedford Community Health Center, Inc.
28 mi
Community Health
874 PURCHASE ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 48 clinicians in this Medicare group
NPI 1982607537 (508) 992-6553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Eun Ji Jang's NPI number?

The NPI number for Eun Ji Jang is 1962922641. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Eun Ji Jang located?

Eun Ji Jang practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-8360.

What is Eun Ji Jang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Eun Ji Jang enrolled in Medicare?

Yes. Eun Ji Jang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eun Ji Jang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eun Ji Jang reassigns Medicare benefits to Greater New Bedford Community Health Center, Inc. (New Bedford, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eun Ji Jang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eun Ji Jang accept?

Health plans from Anthem Blue Cross and Blue Shield list Eun Ji Jang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eun Ji Jang was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.