Individual provider Active NPI

Julie Paige Eisenstein, SLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1497895247
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010712-1 Issued in NY
Practice address
3391 Richmond Ave
Staten Island, NY 10312-2025
Phone
(917) 531-4593
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 010712-1 NY Primary

Addresses

Primary practice location

3391 Richmond Ave
Staten Island, NY 10312-2025

Mailing address

360 Furman St
810
Brooklyn, NY 11201-4574
Phone (347) 529-5428

Other practice location 1

220 E 23rd St
Suite 200
New York, NY 10010-4606
Phone (347) 529-5428

Other practice location 2

360 Furman St
810
Brooklyn, NY 11201-4574
Phone (347) 529-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010712-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1497895247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FURMAN ST",
            "address_2": "810",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014574",
            "telephone_number": "347-529-5428",
            "fax_number": "888-881-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122025",
            "telephone_number": "917-531-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E 23rd St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104606",
            "country_code": "US",
            "telephone_number": "347-529-5428",
            "fax_number": "888-881-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Furman St",
            "address_2": "810",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014574",
            "country_code": "US",
            "telephone_number": "347-529-5428",
            "fax_number": "888-881-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENSTEIN",
        "first_name": "JULIE",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010712-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.