Individual provider Active NPI

Antoinette Eng, M.D.

  • Emergency Medicine Physician
  • Weymouth, MA
National Provider Identifier
1184890469
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
249920 Issued in MA
Practice address
330 Washington Street
Weymouth, MA 02188
Phone
(781) 626-5160
Fax
(781) 803-2645
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 243421 NY
Emergency Medicine Physician 207P00000X 123171 CA
Emergency Medicine Physician 207P00000X 249920 MA Primary

Addresses

Primary practice location

330 Washington Street
Weymouth, MA 02188

Mailing address

330 Washington Street
Weymouth, MA 02188
Phone (781) 626-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000658 MA Practitioner - Emergency Medicine 4082786892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Health Express IncGroup PAC ID 6406108836, 30 clinicians

Practice addresses (Care Compare)

330 Washington St
Weymouth, MA 02188-2932
Phone (781) 626-5160

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123171CAMDMarriage & Family Therapist
249920MAMDEmergency Medicine Physician
243421NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
South Shore Health Express, Inc Current Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
Steward Medical Group, Inc PastSince Oct 1, 2014 Accepting new patients

Locations

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

59 Long Pond Rd
Plymouth, MA 02360
Phone (781) 626-5180

330 Washington St
Weymouth, MA 02188
Phone (781) 248-8962

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1184890469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "243421",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "123171",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "249920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.