Organization Active NPI

Nitin J. Engineer MD Plastic Surgery PLLC

  • Surgery of the Hand (Surgery) Physician
  • Henderson, NV
National Provider Identifier
1215568373
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
Legal business name
NITIN J. ENGINEER MD PLASTIC SURGERY PLLC
Doing business as
ENGINEERED AESTHETICS
Practice address
2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429
Phone
(702) 907-2222
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Nitin J Engineer, MDNPI 1952513079
Title
Manager
Phone
(702) 907-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X Primary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X

Addresses

Primary practice location

2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429

Mailing address

1364 Enchanted River Dr
Henderson, NV 89012-7276
Phone (702) 907-2222

Other identifiers 1

IdentifierTypeStateIssuer
13102OtherNVNV MEDICAL LICENSE

Other names 1

  • ENGINEERED AESTHETICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319003044 NV Part B Supplier - Clinic/Group Practice 2860820156 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9975 S Eastern Ave
Ste 110B
Las Vegas, NV 89183
Phone (702) 586-4684

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1215568373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 ENCHANTED RIVER DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127276",
            "telephone_number": "702-907-2222",
            "fax_number": "702-907-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-907-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN J. ENGINEER MD PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "ENGINEER",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-907-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "13102",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENGINEERED AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.