Active NPI
Coreen Eisler
- General Practice Registered Nurse
- Melville, NY
National Provider Identifier
1013821628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 711733
- Practice address
- 255 Broadhollow Rd Ste 201
Melville, NY 11747-4822 - Phone
- (203) 747-4380
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 711733 | NY | Primary |
| Infusion Therapy Registered Nurse | 163WI0500X | 97882 | CT |
Addresses
Primary practice location
255 Broadhollow Rd Ste 201
Melville, NY 11747-4822
Mailing address
39 Harvest Hill Dr
Trumbull, CT 06611-3939
Phone (203) 747-4380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1013821628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 HARVEST HILL DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113939",
"telephone_number": "203-747-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BROADHOLLOW RD STE 201",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474822",
"telephone_number": "203-747-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISLER",
"first_name": "COREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "711733",
"primary": true
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "CT",
"license": "97882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.