Organization Active NPI

Dr.Eliezer L Offenbacher MD, PLLC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1407271505
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
147975-3 Issued in NY
Legal business name
DR.ELIEZER L OFFENBACHER MD, PLLC
Practice address
3852 Nostrand Ave
Brooklyn, NY 11235-2013
Phone
(718) 743-2300
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Eliezer Offenbacher, M.D
Title
Owner
Phone
(718) 743-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 147975-3 NY Primary

Addresses

Primary practice location

3852 Nostrand Ave
Brooklyn, NY 11235-2013

Mailing address

19 Girard St
Brooklyn, NY 11235-3007
Phone (718) 743-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1407271505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GIRARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353007",
            "telephone_number": "718-743-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352013",
            "telephone_number": "718-743-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ELIEZER L OFFENBACHER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "OFFENBACHER",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-743-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "147975-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.