Maureen Eisenberg

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F382350 Issued in NY

Practice address

47-01 Queens Boulevard
Suite 303
Sunnyside, NY 11104

Phone

(718) 707-3434

Fax

(718) 707-3435

NPI assigned

Sep 25, 2012

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 15, 2025 through May 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61669

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.

• Our Neighborhood Medical PC

  • Pediatrics Physician
  • Sunnyside, NY
  • NPI 1568422210
  NPD (past)

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1467703801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-01 QUEENS BOULEVARD",
            "address_2": "SUITE 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "11104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-01 QUEENS BOULEVARD",
            "address_2": "SUITE 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "11104",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romualdo Bantigue Dunton Jr.
• Dynacare Physical Therapy, PLLC
• Efficient Medical Care P.C
• Lambert O Egbuchulam, RPH
• Yessmin Rodriguez Egipciaco, MS,RD
• Adam Elbordiny
• Amnadaliz Eldawaity
• Embracing Wellness
• Equiply Advanced Inc
• Maeghen Anne Erskine, PT, DPT, PCS

• Pediatric Nurse Practitioner in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.