Elana Denise Eisenberg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

017873-1 Issued in NY

Practice address

1000 N Village Ave
Rockville Centre, NY 11570-1000

Phone

(516) 705-2525

NPI assigned

Aug 28, 2014

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Long Island Emergency Care PC

  • Emergency Medicine Physician
  • Rockville Center, NY
  • NPI 1063464568
  NPD (past)
• South Nassau Walk-in Medical Care, P.C.

  • Specialist
  • Oceanside, NY
  • NPI 1801127576
  NPD (past)
• Throggs Neck Walk in Medical Care

  • Preferred Provider Organization
  • Bronx, NY
  • NPI 1134137573
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1548660426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701000",
            "telephone_number": "516-705-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ELANA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017873-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Christine Eckel
• Israel Simon Eckman, M.D.
• Edward J. Pakstis, M.D., P.L.L.C.
• Edward M.Stroh,M.D.,P.C
• Kiona Edwards, MA, LCAT, ATR-BC
• Rebecca Suzanne Eisenberg
• Barbara J. Elberger, NP
• Elpida Psychotherapy LCSW PLLC
• Margaret Mary Emmons, PHYSICAL THERAPIST
• Empathos Mental Health Counseling PLLC

• Physician Assistant in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.