Kenneth Y. Eng, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA03543700 Issued in NJ

Legal business name

KENNETH Y. ENG, M.D., P.A.

Practice address

67 Walnut Ave
Suite 302
Clark, NJ 07066-1640

Phone

(732) 882-0700

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Y Eng, M.D.

Title

President

Phone

(732) 946-2325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth Eng, M.D., P.A. Other name

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1316062995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE",
            "address_2": "SUITE 302",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661640",
            "telephone_number": "732-946-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE",
            "address_2": "SUITE 302",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661640",
            "telephone_number": "732-882-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH Y. ENG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-946-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03543700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Eng, M.D., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria A. Katalan, D.D.S.
• Kelner Periodontics
• Danielle Kelner, DMD
• Richard M Kelner, DMD
• Kelnerperiollc
• Kessler Rehabilitation
• Kenouz Khalil
• Grace Kim, PHARM.D.
• Kinley Institute
• David Kinley Jr., LIC ACUPUNCTURIST LI

• Ophthalmology Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.