Jared S Eisen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051906 Issued in NY

Practice address

200 Madison Ave
Suite 2201
New York, NY 10016-3903

Phone

(212) 683-2530

NPI assigned

May 21, 2007

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Joseph Greer and Dr Mitchel Charnas

  • Dental Hygienist
  • New York, NY
  • NPI 1699764753

  General Practice

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154539005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 1ST ST",
            "address_2": "12-P",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308802",
            "telephone_number": "201-683-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE",
            "address_2": "SUITE 2201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163903",
            "telephone_number": "212-683-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "JARED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Eischen
• James M Eisdorfer, DDS
• Lisa Eisdorfer, MS,RD,CDN
• Caroline Dunn Eisele, MD
• Carolyn S Eisen, MD
• Lori Michelle Eisen, PT
• Susan R. Eisen, D.C.
• Chelsea Danae Eisenach
• Amanda Margaret Eisenbach
• Charity Eisenbach, MSW

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.