Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiran Changa

Individual provider Periodontics · NPI 1902590821

Kiran Changa is a Periodontics in Newark, New Jersey. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (732) 991-7806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DSO45611 (PA)

Record details

NPI number1902590821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address8489 Country Club Dr Ste 4, North Huntingdon, PA 15642-4345

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