Dr. John George Egner , MD
Specialist • W Islip, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Egner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Egner, MD was a registered Specialist practicing in W Islip, NY. Throughout an active medical career spanning 10 years, Dr. Egner provided care at the practice location at 1 KENNEDYLANE until profile deactivation on 2023-10-21.
Practice Location & Contact Primary Location
1 Kennedylane
W Islip, NY 11795
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in W Islip, NY
Practicing in W Islip, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 21, 2023
Specialist (License #80692 in NY)
NPI status registered as active in NPPES database
Registered at 1 KENNEDYLANE, W ISLIP, NY 11795 (Tel: 6316698945)
Registered at 1 KENNEDY LANE W ISLIP N Y, W ISLIP, NY 11795 (Tel: 6316698945)
Recorded as JOHN EGNER, M.D.
Specialist (License #80692 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1 Kennedy Lane W Islip N Y
W Islip, NY 11795
Phone: 6316698945
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