Jillian Eisenbraun, P.A. C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00295400 Issued in NJ

Practice address

670 N Beers St
BLDG 4 Unit 2
Holmdel, NJ 07733-1516

Phone

(732) 335-3434

NPI assigned

Nov 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1073942843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WOODBINE AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391313",
            "telephone_number": "732-747-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG 4 UNIT 2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-335-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBRAUN",
        "first_name": "JILLIAN",
        "credential": "P.A. C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00295400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dowens
• Dr. Magdy Nasra MD PC
• Alexis Dragun, DSW, LCSW
• Driven2Heal Physical Therapy
• Adriana Dudeck, PA
• Elbasty Pediatric an Denta Assoc.
• Azza Elbasty, MD, FAAP
• Sarah Elshishiny, BCBA
• Padmaja Eluri, PT
• Leonid Emerel, M.D.

• Medical Physician Assistant in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.