Jack Eisenstein, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N002938 Issued in NY

Practice address

18-15 College Point Blvd.
College Point, NY 11356

Phone

(718) 353-4307

Fax

(718) 538-7558

NPI assigned

Jun 28, 2006

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Farmingdale Podiatry Assoc.

  • Durable Medical Equipment & Medical Supplies
  • Farmingdale, NY
  • NPI 1568640357
  NPD (past) Authorized official
• Jack Eisenstein,D.P.M.

  • Customized Equipment (DME)
  • College Point, NY
  • NPI 1871777813
  NPD (past) Authorized official
• Janine Fiorello NP-Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmingdale, NY
  • NPI 1164091393
  NPD (past)
• New York Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Floral Park, NY
  • NPI 1801150461
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1700814159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EAGLE CHASE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972911",
            "telephone_number": "516-816-9619",
            "fax_number": "718-539-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-15 COLLEGE POINT BLVD.",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "11356",
            "telephone_number": "718-353-4307",
            "fax_number": "718-538-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110012146",
            "country_code": "US",
            "telephone_number": "516-492-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENSTEIN",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in College Point, NY
• Providers in College Point, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.

Verify at the official NPI Registry.