Individual provider Active NPI

Daniel Marc Eisman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
National Provider Identifier
1740635036
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA11354900 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
NPI assigned
Apr 25, 2016
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 292350 NY
Vascular & Interventional Radiology Physician 2085R0204X 25MA11354900 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220317002092 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840535472 Reassigns benefits to 12 organizations
I20230831003814 NY Practitioner - Diagnostic Radiology 0840535472 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Cooper Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Imaging AssociatesGroup PAC ID 7416939590, 15 clinicians
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians
Medical Diagnostic Imaging, PLLCGroup PAC ID 0547242224, 14 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Hudson Valley Diagnostic Imaging PLLCGroup PAC ID 6204729452, 16 clinicians
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

1001 Loudon Rd
Latham, NY 12110
Phone (518) 785-7373

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900

19 -04 Fair Lawn Ave
Fair Lawn, NJ 07410-2341
Phone (800) 475-6112

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

575 Hudson Valley Ave
Suite 101
New Windsor, NY 12553-4746
Phone (845) 220-2222

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

75 Wilbur Rd
Bergenfield, NJ 07621-4019
Phone (201) 978-9167

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
292350NYMDDiagnostic Radiology Physician
25MA11354900NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates Prof Corp Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Capital Imaging Associates Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Peace Health Partners, PC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
University Physician Associates of New Jersey Inc Multi-Specialty Current Accepting new patients
New Rochelle Radiology Associates, P.C. Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Central Avenue Professional Services, PC Multi-Specialty CurrentSince May 2, 2022 Accepting new patients
Hudson Premier Medical PC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
University Physician Associates of New Jersey, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Garden State Healthcare Associates, LLC Multi-Specialty CurrentSince Jun 15, 2025 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic, LLC Multi-Specialty CurrentSince Jul 12, 2022 Accepting new patients
Medical Diagnostic Imaging PLLC Multi-Specialty CurrentSince Oct 20, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC CurrentSince Jul 12, 2022 Accepting new patients
Diagnostic Imaging Associates of North Jersey PA Multi-Specialty CurrentSince Aug 15, 2023 Accepting new patients

Locations

19-04 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (518) 417-2474

3 University Plz
Ste 205
Hackensack, NJ 07601

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

718 Teaneck Rd
Fl 3
Teaneck, NJ 07666
Phone (201) 833-3535

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

175 Memorial Hwy
Ste LL14
New Rochelle, NY 10801
Phone (914) 633-7700

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848

1323 Route 9
Ste 107
Wappingers Falls, NY 12590
Phone (845) 471-2848

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1740635036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISMAN",
        "first_name": "DANIEL",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "292350",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA11354900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.