Active NPI
Robert M Aisenberg, MD
- Pulmonary Disease Physician
- Fall River, MA
National Provider Identifier
1154488492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 59474
- Practice address
- 1030 President Ave
Suite 210
Fall River, MA 02720-5923 - Phone
- (508) 973-1780
- Fax
- (508) 973-0359
- NPI assigned
- Jan 3, 2007
- Last updated
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 59474 | MA | Primary |
| Pulmonary Disease Physician | 207RP1001X | MD07361 | RI | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 59474 | MA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD07361 | RI |
Addresses
Primary practice location
1030 President Ave
Suite 210
Fall River, MA 02720-5923
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110045669A | Medicaid | MA | |
| RA04764 | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raisenberg5467@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07361 | RI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Care, P.C. | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- raisenberg5467@direct.southcoast.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Fall River, MA
- NPI 1578620886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1154488492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 210",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205923",
"telephone_number": "508-973-1780",
"fax_number": "508-973-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AISENBERG",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "59474",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "RI",
"license": "MD07361",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MA",
"license": "59474",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "RI",
"license": "MD07361",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110045669A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RA04764",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raisenberg5467@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "1030 President Ave",
"address_2": "Suite 210",
"city": "Fall River",
"state": "MA",
"country_code": "US",
"postal_code": "027205923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.