Organization Active NPI

Mark J Eisen LLC

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1336849512
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARK J EISEN LLC
Practice address
3701 Henry Hudson Pkwy Apt 1E
Bronx, NY 10463-1526
Phone
(718) 601-1540
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mark J EisenNPI 1356566863
Title
Owner
Phone
(718) 601-1540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3701 Henry Hudson Pkwy Apt 1E
Bronx, NY 10463-1526

Mailing address

3701 Henry Hudson Pkwy Apt 1E
Bronx, NY 10463-1526
Phone (718) 601-1540

National Provider Directory

National Provider Directory

Locations

3701 Henry Hudson Pkwy
Apt 1E
Bronx, NY 10463
Phone (718) 601-1540

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336849512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 HENRY HUDSON PKWY APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631526",
            "telephone_number": "718-601-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HENRY HUDSON PKWY APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631526",
            "telephone_number": "718-601-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J EISEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-601-1540"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.