Active NPI
John S Eng MD PA
- Plastic Surgery Physician
- Rockville, MD
National Provider Identifier
1730452905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D0016625
- Legal business name
- JOHN S ENG MD PA
- Practice address
- 11404 Old Georgetown Rd
Suite 206
Rockville, MD 20852-2865 - Phone
- (301) 468-5991
- Fax
- (301) 468-5979
- NPI assigned
- Feb 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John S Eng
- Title
- Owner
- Phone
- (301) 468-5991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | D0016625 | MD | Primary |
Addresses
Primary practice location
11404 Old Georgetown Rd
Suite 206
Rockville, MD 20852-2865
Mailing address
11404 Old Georgetown Rd
Suite 206
Rockville, MD 20852-2865
Phone (301) 468-5991
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1730452905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11404 OLD GEORGETOWN RD",
"address_2": "SUITE 206",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522865",
"telephone_number": "301-468-5991",
"fax_number": "301-468-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11404 OLD GEORGETOWN RD",
"address_2": "SUITE 206",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522865",
"telephone_number": "301-468-5991",
"fax_number": "301-468-5979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN S ENG MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-17",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "ENG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-468-5991",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D0016625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.