Individual provider Active NPI

Lisa Eng, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1952373912
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
188325 Issued in NY
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01541648MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000959 NY Practitioner - Obstetrics/Gynecology 4587683925 Reassigns benefits to 3 organizations

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
New Life Medical Esthetics and Wellness PLLCGroup PAC ID 3870778228, 2 clinicians

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

LicenseStateTypeSpecialty
188325NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apicha Community Health Center CurrentSince Jun 3, 2024 Accepting new patients
Wecare of New York Ipa, LLC Current Accepting new patients
Related Surgical Specialties, PC CurrentSince Oct 9, 2025 Accepting new patients
Apicha Community Health Center CurrentSince Jun 3, 2024 Accepting new patients
Related Surgical Specialties, PC CurrentSince Oct 9, 2025 Accepting new patients
Surgical Specialists of Greater Ny LLP PastSince Nov 5, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.