Organization Active NPI

Eisenberger and Adler Orthodontics at Monroe PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monroe, NY
National Provider Identifier
1407569130
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EISENBERGER AND ADLER ORTHODONTICS AT MONROE PLLC
Practice address
791 State Route 17M
Monroe, NY 10950-2620
Phone
(845) 678-3306
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Michael Torres
Title
Practice Manager
Phone
(718) 844-8943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

791 State Route 17M
Monroe, NY 10950-2620

Mailing address

791 State Route 17M
Monroe, NY 10950-2620

Other identifiers 3

IdentifierTypeStateIssuer
02165171MedicaidNY
05919177MedicaidNY
04992527MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Eisenberger and Adler Orthodontics at Monroe PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

791 State Route 17M
Monroe, NY 10950
Phone (845) 678-3306

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1407569130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502620",
            "telephone_number": "845-678-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENBERGER AND ADLER ORTHODONTICS AT MONROE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "718-844-8943"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165171",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05919177",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04992527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.