Active NPI
Eisenberger and Adler Orthodontics at Monroe PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Monroe, NY
National Provider Identifier
1407569130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02165171 | Medicaid | NY | |
| 05919177 | Medicaid | NY | |
| 04992527 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Eisenberger and Adler Orthodontics at Monroe PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Airmont, NY
- NPI 1487450789
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.