Active NPI
Eliezer Eisenberger, D.P.M.
- Foot & Ankle Surgery Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006432
- Practice address
- 4915 Broadway
Suite 1J
New York, NY 10034-3119 - Phone
- (212) 569-5700
- Fax
- (212) 569-5701
- NPI assigned
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006432 | NY | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00323200 | NJ |
Addresses
Primary practice location
4915 Broadway
Suite 1J
New York, NY 10034-3119
Mailing address
4915 Broadway
Suite 1J
New York, NY 10034-3119
Phone (212) 569-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006432 | Other | NY STATE LICENSE NUMBER |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4915 Broadway
Apt 1O
New York, NY 10034-3123
Phone (212) 569-5700
Hospital & facility affiliations
- St Barnabas Hospital
- Mount Sinai West
- Mount Sinai Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 884 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 280 |
| Removal or shaving of skin growth | 136 |
| Skin biopsy | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00323200 | NJ | MD | Foot & Ankle Surgery Podiatrist |
| 006432 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leg Foot & Ankle Associates PC | Foot & Ankle Surgery | Current | Accepting new patients |
| St. Barnabas Hospital | Past | Accepting new patients | |
| Long Island Foot Care, PC | Past | Accepting new patients |
Locations
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
294 W Merrick Rd
Ste 8
Freeport, NY 11520
Phone (516) 378-8383
4915 Broadway
Apt 1J
New York, NY 10034
Phone (212) 569-5700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFJFDD/Endpoint/GFJFDD
- eeisenberger18971@sbhny.direct-ci.net
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- New York, NY
- NPI 1316362577
-
- Podiatrist
- Freeport, NY
- NPI 1780802264
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1518246768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 BROADWAY",
"address_2": "SUITE 1J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100343119",
"telephone_number": "212-569-5700",
"fax_number": "212-569-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 BROADWAY",
"address_2": "SUITE 1J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100343119",
"telephone_number": "212-569-5700",
"fax_number": "212-569-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERGER",
"first_name": "ELIEZER",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006432",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00323200",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NUMBER",
"identifier": "006432",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.