Active NPI
Laura Eismont, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1497922280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 260878
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 579-2647
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 260878 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
16914 21St Ave
Whitestone, NY 11357-4102
Phone (347) 866-2999
Other names 1
- Laura Daugialaite
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260878 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Pediatrics | Current | Accepting new patients |
| Montefiore Medical Center | Pediatrics | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Past | Accepting new patients |
Locations
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
600 E 233rd St
Fl 4
Bronx, NY 10466
Phone (718) 920-9014
111 E 210th St
Bronx, NY 10467
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
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- Methadone Clinic
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- NPI 1801428222
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1497922280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16914 21ST AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574102",
"telephone_number": "347-866-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-579-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISMONT",
"first_name": "LAURA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "260878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "DAUGIALAITE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.