Active NPI
Timothy J Eng, L.AC.
- Acupuncturist
- Charlestown, MA
National Provider Identifier
1699040840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 251248
- Practice address
- 529 Main St Ste P200
Charlestown, MA 02129-1125 - Phone
- (857) 321-8567
- Fax
- (857) 305-7090
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00828 | OR | |
| Acupuncturist | 171100000X | 251248 | MA | Primary |
Addresses
Primary practice location
529 Main St Ste P200
Charlestown, MA 02129-1125
Mailing address
23 Austin St Unit 290713
Charlestown, MA 02129-7033
Phone (503) 810-8589
Other practice location 1
60 State St
Ste 700
Boston, MA 02109-1894
Phone (503) 810-8589
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251248 | MA | MD | Acupuncturist |
| AC00828 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699040840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 AUSTIN ST UNIT 290713",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021297033",
"telephone_number": "503-810-8589",
"fax_number": "866-571-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAIN ST STE P200",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291125",
"telephone_number": "857-321-8567",
"fax_number": "857-305-7090"
}
],
"practiceLocations": [
{
"address_1": "60 State St",
"address_2": "STE 700",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021091894",
"country_code": "US",
"telephone_number": "503-810-8589",
"fax_number": "866-571-7335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENG",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00828",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "251248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.