JACOB EISDORFER (NPI# 1881919728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881919728 |
| Entity Type | Individual |
| Full Name | JACOB EISDORFER |
| Credential | D.D.S. |
| Practice Address |
1162 42nd St Brooklyn NY 11219-1213 |
| Practice Telephone | 3472097158 |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22DI02480400 | NJ | Dental Providers |
| N | 122300000X | Dentist | 00055621 | NY | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
22DI02480400 | NJ | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
00055621 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03355406 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487706255 | Jacob Eisdorfer | Colon & Rectal Surgery | 1235 Linden Blvd, Brooklyn, NY 11212-2438 | 2007-01-18 |
| Street Address |
1162 42ND ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043059 | Danielle Culpepper | Dentist | 150 55th St, Brooklyn, NY 11220-2508 | 2016-02-16 |
| 1710345160 | Paul Wilson | Dentist | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2016-01-31 |
| 1972910479 | Marc Bongard | Dentist | 150 55th St, Brooklyn, NY 11220-2508 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299798 | Battery Park Pediatric Dentistry Pllc | Dentist | 200 E 36th St Ste Ps1, New York, NY 10016-3667 | 2019-11-11 |
| 1437509841 | Dental Anesthesia of New York, LLC | Dentist | 410 W 53rd St Apt 126, New York, NY 10019-5693 | 2016-06-16 |
| 1801139662 | Brandon Michael Fitzgerald | Dentist | 625 W 57th St, Apt 463, New York, NY 10019-2937 | 2013-03-30 |
| 1902119001 | Mana Saraghi | Dentist | 7 Woodfern Ct, Dix Hills, NY 11746 | 2010-07-17 |
| 1750414744 | Ralph Harris Epstein | Dentist | 173 East Shore Road, Suite 201, Great Neck, NY 11023 | 2007-03-13 |
| 1538667548 | Touro College | Dentist | 19 Skyline Dr, Hawthorne, NY 10532-2134 | 2018-01-24 |
| 1457869224 | Ticonderoga Dental Plaza, PC | Dentist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2018-01-16 |
| 1992232441 | Nicholas S Katchen Dds PC | Dentist | 155 E Main St, Port Jervis, NY 12771-2113 | 2017-05-16 |
| 1366891053 | Ari Gitlin Dds PC | Dentist | 99 Hicksville Rd, Bethpage, NY 11714-3445 | 2016-06-03 |
| 1023479359 | Advanced Dental Anesthesia Services | Dentist | 111 Route 303, Suite 220, Tappan, NY 10983-2133 | 2016-03-15 |
| 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.