Jonathan Farrel Eisen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00638000 Issued in NJ

Practice address

224 Route 4 East Lower Level
Paramus, NJ 07652

Phone

(201) 845-5999

Fax

(201) 845-5999

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jonathan Eisen DC, PC

  • Chiropractor
  • Brooklyn, NY
  • NPI 1114559309
  NPD Authorized official
• Eisen Family Chiropractic Center, P.C.

  • Chiropractor
  • Paramus, NJ
  • NPI 1538257100
  NPD (past)
• Daniel N Benson D.C., P.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1477734440
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437238300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MARISA CIRCLE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10309",
            "telephone_number": "718-605-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROUTE 4 EAST LOWER LEVEL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-845-5999",
            "fax_number": "201-845-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "JONATHAN",
        "middle_name": "FARREL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008779-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00638000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7452866",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093581",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W/C BOARD #",
            "identifier": "C08779-3B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897373",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edge Pro Sports Rehab Institute, LLC
• Aaron Ehrlich
• Emily Ehrmann, MA
• Sebastian Eid, MD
• Eisen Family Chiropractic Center, P.C.
• Robert David Eisen, D.C.
• Bretton Eisenhardt, DPT
• Vana Ekmekjian, LSW
• Elandon Dialysis LLC (Paramus Dialysis)
• Elderpath Medical PC

• Chiropractor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.