Individual provider Active NPI

Edward I Engle, DO

  • Otolaryngology Physician
  • Manahawkin, NJ
National Provider Identifier
1417021627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MB07447800 Issued in NJ
Practice address
1145 Beacon Avenue
Manahawkin, NJ 08050-2626
Phone
(609) 597-7110
Fax
(609) 597-7113
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MB07447800 NJ Primary

Addresses

Primary practice location

1145 Beacon Avenue
Manahawkin, NJ 08050-2626

Mailing address

1145 Beacon Avenue
Manahawkin, NJ 08050-2626
Phone (609) 597-7110

Other identifiers 4

IdentifierTypeStateIssuer
0081299MedicaidNJ
8222873OtherGHI
103892OtherLOCAL 825
2411891000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050114000041 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8921057100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Regional Ear Nose and Throat Center LLCGroup PAC ID 0244270304, 2 clinicians

Practice addresses (Care Compare)

1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone (609) 597-7110

300 W Water St
Toms River, NJ 08753-6692
Phone (732) 349-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Regional Ear Nose & Throat Center LLC Otolaryngology CurrentSince Feb 1, 2005 Accepting new patients
Ocean Otolyarngology LLC Past Accepting new patients
Ocean Otolyarngology LLC PastSince Jul 1, 2023 Accepting new patients

Locations

1145 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-1991

300 W Water St
Toms River, NJ 08753
Phone (732) 349-4030

Interoperability endpoints

  • Direct secure messaging: edward.engle@njregionalearnoseandthroattenterllc.chartmakerdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJHBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417021627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVENUE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502626",
            "telephone_number": "609-597-7110",
            "fax_number": "609-597-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVENUE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502626",
            "telephone_number": "609-597-7110",
            "fax_number": "609-597-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "EDWARD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MB07447800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081299",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8222873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825",
            "identifier": "103892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2411891000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.