Active NPI
Barrett Eisenstat, M.D.
- Dermatology Physician
- Oceanside, NY
National Provider Identifier
1285631176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 130692-2
- Practice address
- 258 Merrick Rd
Oceanside, NY 11572-1427 - Phone
- (516) 766-0345
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 130692-2 | NY | Primary |
Addresses
Primary practice location
258 Merrick Rd
Oceanside, NY 11572-1427
Mailing address
258 Merrick Rd
Oceanside, NY 11572-1427
Phone (516) 766-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|
| 130692-2 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Dermatology P.C. | Dermatology | Current | Accepting new patients |
Locations
303 E Park Ave
Long Beach, NY 11561
Phone (516) 431-2020
200 E Eckerson Rd
New City, NY 10956
Phone (845) 352-0500
258 Merrick Rd
Oceanside, NY 11572
Phone (516) 766-0345
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1285631176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 MERRICK RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721427",
"telephone_number": "516-766-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 MERRICK RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721427",
"telephone_number": "516-766-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENSTAT",
"first_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "130692-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.