DR. JACOB EISDORFER (NPI# 1487706255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487706255 |
| Entity Type | Individual |
| Full Name | DR. JACOB EISDORFER |
| Credential | DO |
| Practice Address |
1235 Linden Blvd Brooklyn NY 11212-2438 |
| Mailing Address |
1 Brookdale Plaza Physician Enterprise Services Brooklyn NY 11212 |
| Practice Telephone | 7182405071 |
| Practice Fax Number | 7182405808 |
| Mailing Telephone | 7182407143 |
| Mailing Fax Number | 7182405808 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 270778 | NY | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 25MB09093600 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919728 | Jacob Eisdorfer | Dentist | 1162 42nd St, Brooklyn, NY 11219-1213 | 2010-04-04 |
| Street Address |
1235 LINDEN BLVD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483655 | Nanette Laurie Alexander-thomas | Internal Medicine | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2005-08-02 |
| 1114578705 | Tiffany Leticia Barrett | Nurse Practitioner | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2019-09-25 |
| 1891269676 | Elkhatim Mohammed Elaies | Student in an Organized Health Care Education/Training Program | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2019-01-15 |
| 1730685785 | Thora Francois | Nurse Practitioner | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2018-03-30 |
| 1841611506 | Brookdalerx, Inc. | Pharmacy | 1235 Linden Blvd, Brooklyn, NY 11212 | 2013-12-26 |
| 1104083849 | Jason Michael Mckean | General Acute Care Hospital | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2008-05-20 |
| 1720035082 | Curtis Cave | Internal Medicine | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083157309 | Gadangi Incorporated | Colon & Rectal Surgery | 2583 Ocean Ave Ste 1r, Brooklyn, NY 11229-4575 | 2016-11-18 |
| 1861671653 | Marian Fleischer | Colon & Rectal Surgery | 9707 Fourth Avenue, Brooklyn, NY 11209 | 2007-10-29 |
| 1154395507 | Frank John Lacqua | Colon & Rectal Surgery | 7513 Fort Hamilton Pkwy, Brooklyn, NY 11228-2305 | 2006-02-14 |
| 1376524785 | Boris Sachakov | Colon & Rectal Surgery | 8405 Bay Pkwy, Brooklyn, NY 11214-3359 | 2005-11-11 |
| 1073923561 | Colorectal Care Pllc | Colon & Rectal Surgery | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2014-05-06 |
| 1992965974 | Mychailo Fulmes | Colon & Rectal Surgery | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2008-06-12 |
| 1073723318 | Hans Christian Burkholder | Colon & Rectal Surgery | 506 6th St, Brooklyn, NY 11215-3609 | 2007-05-23 |
| 1982813267 | Rebecca Rhee | Colon & Rectal Surgery | 745 64th St, 2nd Floor, Brooklyn, NY 11220-4745 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1831468966 | Slrhc Faculity Practice | Colon & Rectal Surgery | 425 W 59th St Ste 7b, New York, NY 10019-8022 | 2011-12-19 |
| 1396027207 | Joseph David Mills Jr. | Colon & Rectal Surgery | 1150 Youngs Rd Ste 203, Williamsville, NY 14221-8024 | 2011-09-16 |
| 1386934917 | Giovanni Bonomo | Colon & Rectal Surgery | 256 Mason Ave Bldg C3, Staten Island, NY 10305-3408 | 2011-04-16 |
| 1508189226 | Garden City Colon & Rectal Surgical Practice, P.C. | Colon & Rectal Surgery | 1075 Franklin Ave., Garden City, NY 11530-2930 | 2010-03-09 |
| 1962655167 | Ilya Badalov Physician PC | Colon & Rectal Surgery | 13511 78th Dr, Flushing, NY 11367-3235 | 2008-10-31 |
| 1194981506 | Andre Da Luz Moreira | Colon & Rectal Surgery | 530 1st Ave Ste 7v, New York, NY 10016-6402 | 2008-08-05 |
| 1710023031 | Advanced Colon and Rectal Surgery LLC | Colon & Rectal Surgery | 510 Broadhollow Road, Suite 307, Melville, NY 11747-3710 | 2007-01-30 |
| 1295885036 | C. Gene Cayten | Colon & Rectal Surgery | Olmmc, Department of Surgery, 600 East 233rd St., Bronx, NY 10466 | 2007-01-12 |
| 1437162120 | Peter J Wilk | Colon & Rectal Surgery | 475 E 72nd St, New York, NY 10021-4458 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.