The East Coast Center for Cosmetic Breast Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE EAST COAST CENTER FOR COSMETIC BREAST SURGERY

Practice address

2375 Woodward St Ste 102
Philadelphia, PA 19115-5105

Phone

(215) 969-2005

Fax

(215) 969-2006

NPI assigned

Nov 4, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ted Eisenberg, DONPI 1386770428

Title

President

Phone

(215) 969-2005

Specialties & licenses 1

Addresses

Locations

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.

• Ted Eisenberg, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Philadelphia, PA
  • NPI 1386770428
  NPD Authorized official

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1316816606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155105",
            "telephone_number": "215-969-2005",
            "fax_number": "215-969-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155105",
            "telephone_number": "215-969-2005",
            "fax_number": "215-969-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAST COAST CENTER FOR COSMETIC BREAST SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-969-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dialysis Center of West Philadelphia LLC (The Dialysis Center of West Philadelphia at Mill Creek)
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• The Doedega
• The Eyegalss Works, Inc.
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• The Foot & Ankle Group, P.C.
• The Foot and Ankle Group PC
• The Foot and Ankle Group PC

• Plastic Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.