Individual provider Active NPI

Eugenia Jane Ngo, MD

  • Family Medicine Physician
  • Fleming Island, FL
National Provider Identifier
1356454581
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48868 Issued in FL
Practice address
1845 Town Center Blvd BLDG 400
Fleming Island, FL 32003-3356
Phone
(904) 529-2800
Fax
(904) 529-2802
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48868 FL Primary

Addresses

Primary practice location

1845 Town Center Blvd BLDG 400
Fleming Island, FL 32003-3356

Mailing address

1845 Town Center Blvd.
BLDG. 600, Box #15
Fernandina Beach, FL 32003
Phone (904) 529-2800

Other identifiers 1

IdentifierTypeStateIssuer
120978500MedicaidFL

Other names 1

  • Dr. Eugenia Jane Ngo-Seidel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120706000127 FL Practitioner - Family Practice 3072411420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 9, 2014 Accepting new patients
Florida Department of Health CurrentSince Apr 18, 2018 Accepting new patients

Locations

45377 Mickler St
Callahan, FL 32011
Phone (904) 320-6010

30 S 4th St
Fernandina Beach, FL 32034
Phone (904) 261-6191

1620 Nectarine St
Fernandina Beach, FL 32034
Phone 90454818005210

1845 Town Center Blvd
Ste 400
Fleming Island, FL 32003
Phone (904) 529-2800

1845 Town Center Blvd
Bldg 400
Fleming Island, FL 32003
Phone (904) 529-2800

1845 Town Center Blvd
Bldg 600
Fleming Island, FL 32003

3229 Bear Run Blvd
Orange Park, FL 32065
Phone (904) 213-3177

86014 Pages Dairy Rd
Yulee, FL 32097
Phone (904) 548-1880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1356454581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD.",
            "address_2": "BLDG. 600, BOX #15",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-529-2800",
            "fax_number": "904-529-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD BLDG 400",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033356",
            "telephone_number": "904-529-2800",
            "fax_number": "904-529-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "EUGENIA",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120978500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENIA",
            "last_name": "NGO-SEIDEL",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.