Individual provider Active NPI

Leon B Eisikowitz, M.D.

  • Cardiovascular Disease Physician
  • Jamaica, NY
National Provider Identifier
1285790758
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
164424 Issued in NY
Practice address
8015 164TH St
1Sr Floor Left
Jamaica, NY 11432-1116
Phone
(718) 544-9049
Fax
(718) 544-2237
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 164424 NY Primary

Addresses

Primary practice location

8015 164TH St
1Sr Floor Left
Jamaica, NY 11432-1116

Mailing address

8015 164TH St
1St Floor Left
Jamaica, NY 11432-1116
Phone (718) 544-9049

Other identifiers 1

IdentifierTypeStateIssuer
01130478MedicaidNY

Other names 1

  • Dr. Leon B Eisikowitz Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000710 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4587626411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Yale University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8015 164TH St
Suite 1
Jamaica, NY 11432-1123
Phone (718) 544-9049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164424NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leon B Eisikowitz MD PC CurrentSince Feb 14, 1992 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease PastSince Feb 14, 1992 Accepting new patients

Locations

8015 164th St
Ste 1
Jamaica, NY 11432
Phone (718) 544-9049

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1285790758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 164TH ST",
            "address_2": "1ST FLOOR LEFT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321116",
            "telephone_number": "718-544-9049",
            "fax_number": "718-544-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 164TH ST",
            "address_2": "1SR FLOOR LEFT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321116",
            "telephone_number": "718-544-9049",
            "fax_number": "718-544-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISIKOWITZ",
        "first_name": "LEON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "164424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01130478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEON",
            "last_name": "EISIKOWITZ",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.