Organization Active NPI

P. H. Eisenfeld, D.P.M., P.a.

  • Prosthetic/Orthotic Supplier
  • Boca Raton, FL
National Provider Identifier
1700064896
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
PO1496 Issued in FL
Legal business name
P. H. EISENFELD, D.P.M., P.A.
Practice address
9291 Glades Rd
Suite 305
Boca Raton, FL 33434-3959
Phone
(561) 470-0077
Fax
(561) 470-0079
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peppy H. Eisenfeld, D.P.M.
Title
Owner
Phone
(561) 470-0077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO1496 FL
Prosthetic/Orthotic Supplier 335E00000X PO1496 FL Primary

Addresses

Primary practice location

9291 Glades Rd
Suite 305
Boca Raton, FL 33434-3959

Mailing address

9291 Glades Rd
Suite 305
Boca Raton, FL 33434-3959
Phone (561) 470-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000873 FL Part B Supplier - Clinic/Group Practice 1355536517 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

9291 Glades Rd
Ste 305
Boca Raton, FL 33434
Phone (561) 470-0077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1700064896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 GLADES RD",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343959",
            "telephone_number": "561-470-0077",
            "fax_number": "561-470-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GLADES RD",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343959",
            "telephone_number": "561-470-0077",
            "fax_number": "561-470-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. H. EISENFELD, D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "EISENFELD",
        "authorized_official_first_name": "PEPPY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-470-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO1496",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PO1496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.