Individual provider Active NPI

Colleen S Eng, DO

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1376758748
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256224 Issued in NY
Practice address
519 W 114TH St
Columbia Health, John Jay Hall, Mail Code 3601
New York, NY 10027-7036
Phone
(212) 854-2284
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT012075 PA
Student in an Organized Health Care Education/Training Program 390200000X OT012075 PA
Family Medicine Physician 207Q00000X OS014657 PA
Family Medicine Physician 207Q00000X 256224 NY Primary

Addresses

Primary practice location

519 W 114TH St
Columbia Health, John Jay Hall, Mail Code 3601
New York, NY 10027-7036

Mailing address

519 W 114TH St
Columbia Health, John Jay Hall, Mail Code 3601
New York, NY 10027-7036
Phone (212) 854-2284

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS014657PAMDFamily Medicine Physician
OT012075PAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1376758748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W 114TH ST",
            "address_2": "COLUMBIA HEALTH, JOHN JAY HALL, MAIL CODE 3601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277036",
            "telephone_number": "212-854-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W 114TH ST",
            "address_2": "COLUMBIA HEALTH, JOHN JAY HALL, MAIL CODE 3601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277036",
            "telephone_number": "212-854-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "COLLEEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT012075",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT012075",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "256224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.