Yakov Eisenberger DDS; MSD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

046884 Issued in NY

Legal business name

YAKOV EISENBERGER DDS; MSD PC

Practice address

1 Hanson PL Ste 1308
Brooklyn, NY 11243-2902

Phone

(718) 622-2695

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia M Gahles, RDH

Title

Manager

Phone

(718) 622-2695

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yakov S Eisenberger, D.D.S; MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1902815244
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245249598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAND PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HANSON PL STE 1308",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432902",
            "telephone_number": "718-622-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKOV EISENBERGER DDS; MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAHLES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-622-2695",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Yakobi
• Leonid Yakobov
• Inna Yakobovich, PHARM D
• Mila Yakoby, MD
• Diana Yakobzon, PHARMD
• Yakov Raufov Medical PC
• Yakov Sharov Medical PC
• Yulia Yakovenko
• Lyubov Yakovleva
• Tatyana Yakovleva

• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.