Organization Active NPI

Yael Eisenberg NP in Pediatrics PLLC

  • Clinic/Center
  • Woodmere, NY
National Provider Identifier
1164239729
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YAEL EISENBERG NP IN PEDIATRICS PLLC
Practice address
1019 Broadway Ste 213
Woodmere, NY 11598-1227
Phone
(516) 761-8512
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Yael Eisenberg, NPNPI 1154771970
Title
Nurse Practitioner
Phone
(516) 761-8512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1019 Broadway Ste 213
Woodmere, NY 11598-1227

Mailing address

1019 Broadway Ste 213
Woodmere, NY 11598-1227
Phone (516) 761-8512

National Provider Directory

National Provider Directory

Locations

1019 Broadway
Ste 213
Woodmere, NY 11598
Phone (516) 761-8512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1164239729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 BROADWAY STE 213",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981227",
            "telephone_number": "516-761-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BROADWAY STE 213",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981227",
            "telephone_number": "516-761-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAEL EISENBERG NP IN PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "YAEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "516-761-8512",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.