New Life Medical Esthetics & Wellness PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NEW LIFE MEDICAL ESTHETICS & WELLNESS PLLC

Practice address

128 Mott St Ste 401
New York, NY 10013-5575

Phone

(212) 219-2723

Fax

(718) 795-4395

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Eng, DONPI 1952373912

Title

Medical Director

Phone

(212) 219-2723

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18900/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Eng, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1952373912
  Medicare reassignment Care Compare group Authorized official
• George Noumi, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1215001375
  Medicare reassignment Care Compare group
• John Yang Lee, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1932983236

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1639472475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT STREET",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135575",
            "telephone_number": "212-219-2723",
            "fax_number": "718-795-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135575",
            "telephone_number": "212-219-2723",
            "fax_number": "718-795-4395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 59th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203909",
            "country_code": "US",
            "telephone_number": "718-567-0730",
            "fax_number": "718-795-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6702 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205203",
            "country_code": "US",
            "telephone_number": "718-748-7448",
            "fax_number": "718-795-4395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL ESTHETICS & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2024-07-16",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-219-2723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "188325",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01541648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New Horizons Psychological Services, PLLC
• New Jersey Birdie Health PC
• New Life OBGYN Group LLP
• New London Pharmacy Inc
• New Millenium Medical Solutions PC (Spring Thyme Medical Center)
• New Millennium Comprehensive Medical Health, P.C
• New Partners, Inc (Partners In Care)

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.