Active NPI
Lisa Eng, D.O.
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 188325
- Practice address
- 128 Mott St
Suite 401
New York, NY 10013-5540 - Phone
- (212) 219-2723
- Fax
- (718) 795-4395
- NPI assigned
- Feb 3, 2006
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 188325 | NY | Primary |
Addresses
Primary practice location
128 Mott St
Suite 401
New York, NY 10013-5540
Mailing address
128 Mott St Ste 401
New York, NY 10013-5575
Phone (212) 219-2723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01541648 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
128 Mott St
Suite 401
New York, NY 10013-5575
Phone (212) 219-2723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188325 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apicha Community Health Center | Current | Accepting new patients | |
| Wecare of New York Ipa, LLC | Current | Accepting new patients | |
| Related Surgical Specialties, PC | Current | Accepting new patients | |
| Apicha Community Health Center | Current | Accepting new patients | |
| Related Surgical Specialties, PC | Current | Accepting new patients | |
| Surgical Specialists of Greater Ny LLP | Past | Accepting new patients | |
| New Life Medical Esthetics and Wellness, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| Union Square Medical Imaging and Mammography PC | Past | Accepting new patients |
Locations
630 59th St
Brooklyn, NY 11220
Phone (718) 567-0730
630 59th St
#1
Brooklyn, NY 11220
Phone (718) 567-0730
6702 3rd Ave
Brooklyn, NY 11220
Phone (212) 219-2723
8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091
128 Mott St
Ste 401
New York, NY 10013
Phone (212) 219-2723
400 Broadway
New York, NY 10013
Phone (212) 334-6029
400 Broadway
Fl 4
New York, NY 10013
Phone (212) 334-6029
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJBGAA
- lisa.eng.1@18900.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1639472475
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730303017
-
- Surgery Physician
- New York, NY
- NPI 1780308106
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1619779709
-
dba New Life Ob/Gyn
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1073818423
-
- Specialist
- New York, NY
- NPI 1508988320
-
- Federally Qualified Health Center (FQHC)
- Jackson Heights, NY
- NPI 1396238283
-
- Surgery Physician
- Greenwich, CT
- NPI 1700661857
-
- Surgery Physician
- Oyster Bay, NY
- NPI 1023315512
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
-
- Mammography Clinic/Center
- New York, NY
- NPI 1912037102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1952373912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MOTT ST",
"address_2": "SUITE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135540",
"telephone_number": "212-219-2723",
"fax_number": "718-795-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "188325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01541648",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.