Nelson Eng, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

183545 Issued in NY

Practice address

470 E Fordham Rd
Bronx, NY 10458-5108

Phone

(718) 960-3805

Fax

(718) 960-3806

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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 York Family Medicine Associates, P.C.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1902989312
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1316941776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 66TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745209",
            "telephone_number": "718-896-0229",
            "fax_number": "718-960-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585108",
            "telephone_number": "718-960-3805",
            "fax_number": "718-960-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Energy Renewal Revolutionized Unltd. LLC
• Brian Eng, DDS
• Calvin Eng, M.D.
• John Eng, M.D.
• Liane Eng, M.D.
• Yoko Eng
• David Engelbrecht, M.D.
• Elliot Engelhardt, MS OTR/L
• Joanna Engelman
• Elizabeth C England, CRNA

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, 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 Apr 21, 2010; 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.