Derrick Eng, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

311665 Issued in NY

Practice address

51 Atlantic Ave FL 100
Floral Park, NY 11001-2741

Phone

(866) 607-2308

Fax

(248) 855-5455

NPI assigned

May 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Derrick Eng Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Rowan University School of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• New Jersey Medical Services Group, LLC

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1962828277

  NY

  Medicare reassignment Care Compare group NPD
• MVC Az

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)
• MVC CT

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600
  NPD (past)
• MVC PA PLLC

  • Surgery Physician
  • Trevose, PA
  • NPI 1669930798
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1316475593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 316",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223629",
            "telephone_number": "248-847-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ATLANTIC AVE FL 100",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012741",
            "telephone_number": "866-607-2308",
            "fax_number": "248-855-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "311665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DERRICK",
            "last_name": "ENG",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Efthymiou Kanes, O.D.
• Ekg Testing Services Inc
• Katerina Elenis, CERTIFIED
• Elizabeth Romano LCSW PLLC
• Empire Cardiac PC
• Jonathan Engelhardt, DPM
• Kelly Anne Ernyey, MA SLP
• Jessica Mary Erskine, NP
• Essential Therapeutic Touch
• Ethan Drug Corp

• Family Medicine Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.