Active NPI
Gene Eng, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
National Provider Identifier
1225496151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 059231
- Practice address
- 2848 Church Ave Ste 201B
Brooklyn, NY 11226-8270 - Phone
- (484) 318-6504
- NPI assigned
- Feb 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 059231 | NY | Primary |
Addresses
Primary practice location
2848 Church Ave Ste 201B
Brooklyn, NY 11226-8270
Mailing address
15801 Chagall Ter
North Potomac, MD 20878-3461
Phone (484) 318-6504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059231 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1225496151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15801 CHAGALL TER",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208783461",
"telephone_number": "484-318-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2848 CHURCH AVE STE 201B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112268270",
"telephone_number": "484-318-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "GENE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-06",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "059231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.