Fred R Eisner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00278400 Issued in NJ

Practice address

225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3342

Phone

(732) 446-7167

Fax

(732) 446-6287

NPI assigned

Jan 29, 2007

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• CMS Counseling Services, LLC

  • Psychologist
  • Manalapan, NJ
  • NPI 1538545827
  NPD (past)
• Gordons Corner Medical Group,PC

  • Internal Medicine Physician
  • Manalapan, NJ
  • NPI 1841487196
  NPD (past)
• Psychological Concepts, P.C.

  • Psychologist
  • Manalapan, NJ
  • NPI 1588869663
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1477699544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-446-7167",
            "fax_number": "732-446-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-446-7167",
            "fax_number": "732-446-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "FRED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00278400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M Egan-Russo, L.A.C., L.M.T
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Stacey Einziger, LMFT
• John F Elenewski, MD
• Elina Malamud LCSW LLC
• Elite Lifecare Services LLC
• Elizabeth O. Salcedo, MDPC
• Steve Ellis, LCSW

• Clinical Psychologist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.