Active NPI
Lawrence R. Eisenberg, DMD
- Dentist
- Princeton, NJ
National Provider Identifier
1629417456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16220
- Practice address
- 710 Alexander Road
Princeton, NJ 08540 - Phone
- (609) 520-0404
- Fax
- (609) 520-8508
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16220 | NJ | Primary |
Addresses
Primary practice location
710 Alexander Road
Princeton, NJ 08540
Mailing address
710 Alexander Road
Princeton, NJ 08540
Phone (609) 520-0404
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16220 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Eisenberg of Princeton JCT PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Princeton, NJ
- NPI 1366504862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1629417456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 ALEXANDER ROAD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-520-0404",
"fax_number": "609-520-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 ALEXANDER ROAD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-520-0404",
"fax_number": "609-520-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "LAWRENCE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "16220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.