Gary N Eisendorf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

033089 Issued in NY

Practice address

20 Eighth Avenue
Brooklyn, NY 11238-4358

Phone

(516) 984-4084

NPI assigned

May 18, 2006

Last updated

May 15, 2009By the provider in NPPES

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 NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Special Medical PC

  • Adult Medicine Physician
  • Brooklyn, NY
  • NPI 1548700925
  Medicare reassignment NPD
• Biofeedback & Psychotherapy Development LCSW Health Services PC

  • Social Worker
  • Valley Stream, NY
  • NPI 1801945423
  NPD (past)
• Biofeedback and Psychological Development, P.C.

  • Psychologist
  • Valley Stream, NY
  • NPI 1306996509
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1629021084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 621",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115714358",
            "telephone_number": "516-984-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EIGHTH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384358",
            "telephone_number": "516-984-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENDORF",
        "first_name": "GARY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "033089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eisenberger and Bindiger Orthodontics PLLC
• Alana Eisenberger
• Miriam Eisenberger, LCSW
• Mordechai Eisenberger
• Yakov S Eisenberger, D.D.S; MSD
• Helen Ruth Eisenstadt, BA, MS
• Arthur Eisenstein, M.D.
• Howard Charles Eisenstein, MD
• Miriam Eisenstein
• Tziporah Eisenstein, LCSW

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.

Verify at the official NPI Registry.