Susan S Eng-Ma, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004705 Issued in NY

Practice address

128 Mott St
405
New York, NY 10013-5540

Phone

(212) 966-0068

Fax

(212) 966-0072

NPI assigned

Mar 16, 2007

Last updated

Mar 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.eng-ma.1@24989.direct.athenahealth.com

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.

• Chinatown True Care Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912567884
  Medicare reassignment Care Compare group NPD
• Ira Davenport Memorial Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bath, NY
  • NPI 1215021225
  NPD
• Ira Davenport Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Bath, NY
  • NPI 1306930318
  NPD
• Premier Renal Care, P.C.

  • Nephrology Physician
  • New York, NY
  • NPI 1528137072
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1477687754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 SHORE RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092809",
            "telephone_number": "718-715-8674",
            "fax_number": "212-966-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-966-0068",
            "fax_number": "212-966-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG-MA",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Serina Enerio
• Marvin Louie Custodio Enerio
• Lauren Marie Enes, PA-C
• Eneslow Pedorthic Enterprises Inc
• Eneslow Pedorthic Enterprises, Inc. (Eneslow Little Neck LLC)
• Carrie Eng-Mazur, MSN, WHNP-BC
• Amanda Eng, DPT
• Amanda Eng, DO
• Amy Eng
• Andrew Ji-Heng Eng, MD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.