Mark Joel Eisen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010681 Issued in NY

Practice address

3701 Henry Hudson Pkwy
Ste 1E
Bronx, NY 10463-1521

Phone

(718) 601-1540

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mark J Eisen LLC

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
  • NPI 1336849512
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1356566863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 HENRY HUDSON PKWY",
            "address_2": "STE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631521",
            "telephone_number": "718-601-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HENRY HUDSON PKWY",
            "address_2": "STE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631521",
            "telephone_number": "718-601-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "MARK",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avi I Einzig, MD
• Michelle Honey Eis, MA,CCC-SLP
• Ahmed Eisa, MD
• Jodi A Eisen, PA
• Lewis Ari Eisen, M.D.
• David Alexander Eisenach, M.A.
• Carol S Eisenberg, MD
• Daniel M Eisenberg, CHIROPRACTIC
• Harvey Eisenberg, MD
• Jason Zeus Eisenberg, MD

• Chiropractor in Bronx, NY
• Providers in Bronx, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.