Individual provider Active NPI

Eileen S Debbi, MD

  • Specialist
  • Jamaica, NY
National Provider Identifier
1326076589
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169637 Issued in NY
Practice address
164-05 Hillside Avenue
Jamaica, NY 11432-4140
Phone
(718) 297-6090
Fax
(718) 297-6094
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 169637 NY
Specialist 174400000X 169637 NY Primary

Addresses

Primary practice location

164-05 Hillside Avenue
Jamaica, NY 11432-4140

Mailing address

164-05 Hillside Avenue
Jamaica, NY 11432-4140
Phone (718) 297-6090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000034 NY Practitioner - Physical Medicine and Rehabilitation 1951207083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169637NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthmakers Medical Group, P.C. Past Accepting new patients

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1326076589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-05 HILLSIDE AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-297-6090",
            "fax_number": "718-297-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164-05 HILLSIDE AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-297-6090",
            "fax_number": "718-297-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBBI",
        "first_name": "EILEEN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "169637",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "169637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.