Active NPI
Young F Eng, MD
- Endocrinology, Diabetes & Metabolism Physician
- Staten Island, NY
National Provider Identifier
1780759886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 089292
- Practice address
- 11 Ralph Place
Suite 204
Staten Island, NY 10304-4419 - Phone
- (718) 273-5666
- Fax
- (718) 447-1043
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 089292 | NY | Primary |
Addresses
Primary practice location
11 Ralph Place
Suite 204
Staten Island, NY 10304-4419
Mailing address
11 Ralph Place
Suite 204
Staten Island, NY 10304-4419
Phone (718) 273-5666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048197 | Other | NY | GROUP HEALTH INC |
| 902371 | Other | NY | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087292 | NY | MD | Social Worker |
| 089292 | NY | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1811224124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780759886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RALPH PLACE",
"address_2": "SUITE 204",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044419",
"telephone_number": "718-273-5666",
"fax_number": "718-447-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RALPH PLACE",
"address_2": "SUITE 204",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044419",
"telephone_number": "718-273-5666",
"fax_number": "718-447-1043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "YOUNG",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "089292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INC",
"identifier": "0048197",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "902371",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.