Individual provider Active NPI

Avraham Y Eisenman, FNP

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1205434248
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01066600 Issued in NJ
Practice address
706 Passaic Ave
Clifton, NJ 07012-1847
Phone
(201) 463-8933
NPI assigned
Oct 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01066600 NJ Primary

Addresses

Primary practice location

706 Passaic Ave
Clifton, NJ 07012-1847

Mailing address

706 Passaic Ave
Clifton, NJ 07012-1847
Phone (201) 463-8933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210219000695 NY Practitioner - Nurse Practitioner 8426463753 Reassigns benefits to 3 organizations
I20211117002073 NJ Practitioner - Nurse Practitioner 8426463753 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Delaware River Medicine PLLCGroup PAC ID 4981034550, 30 clinicians
Rockland Urgent Care Family Health NP, PCGroup PAC ID 1254655426, 15 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 858-7000

786 Bloomfield Ave
Clifton, NJ 07012-1116
Phone (201) 463-8933

89 S Route 9W
West Haverstraw, NY 10993-1047
Phone (845) 429-4000

Hospital & facility affiliations

  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Subacute Medical Associates CurrentSince Oct 10, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family CurrentSince Apr 13, 2022 Accepting new patients
Jersey Irish Medical CurrentSince Jan 1, 2022 Accepting new patients
Rockland Urgent Care Family Health NP, P.C. CurrentSince Aug 7, 2024 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Stadium Emergency Associates CurrentSince Nov 14, 2021 Accepting new patients
Delaware River Medicine, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Rite Medical Care PC CurrentSince Jan 3, 2023 Accepting new patients
Park Hill Emergency Physician Services CurrentSince Jan 1, 2021 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

786 Bloomfield Ave
Clifton, NJ 07012
Phone (201) 463-8933

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

89 S Route 9W
West Haverstraw, NY 10993
Phone (845) 426-6156

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGEFDD

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1205434248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 PASSAIC AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121847",
            "telephone_number": "201-463-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 PASSAIC AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121847",
            "telephone_number": "201-463-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "AVRAHAM",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01066600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.