Organization Active NPI

John S Eng MD PA

  • Plastic Surgery Physician
  • Rockville, MD
National Provider Identifier
1730452905
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0016625 Issued in MD
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

Updated by the provider on Mar 12, 2012

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.