Engdahl Plastic Surgery, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ENGDAHL PLASTIC SURGERY, PLLC

Practice address

506 6TH St
Brooklyn, NY 11215-3609

Phone

(917) 650-0775

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Ryan Engdahl, MD

Title

President

Phone

(917) 650-0775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1215590914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 1ST AVE # 122",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "917-650-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGDAHL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "ENGDAHL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-650-0775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W Eng, PA-C
• Kenneth Eng, RPH
• Matthew Eng, PHARMD, RPH
• Timothy Eng
• Vanessa M Eng
• Chaya Engel
• Fraidy C Engel
• Gizella Esther Engel, LCSW
• Lenore Engel, M.D.
• Mushka Engel, DPT

• Plastic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.