Organization Active NPI

Jay D. Eisenstadt DDS PLLC

  • Dentist
  • Flushing, NY
National Provider Identifier
1841736279
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33672 Issued in NY
Legal business name
JAY D. EISENSTADT DDS PLLC
Practice address
14210 Roosevelt Ave
Suite110
Flushing, NY 11354-6046
Phone
(718) 886-1171
Fax
(718) 886-3822
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Jay Eisenstadt, DDSNPI 1720199581
Title
Owner/Dentist
Phone
(718) 886-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33672 NY Primary

Addresses

Primary practice location

14210 Roosevelt Ave
Suite110
Flushing, NY 11354-6046

Mailing address

14210 Roosevelt Ave
Suite110
Flushing, NY 11354-6046
Phone (718) 886-1171

National Provider Directory

National Provider Directory

Locations

14210 Roosevelt Ave
Ste 110
Flushing, NY 11354
Phone (718) 886-1171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1841736279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 ROOSEVELT AVE",
            "address_2": "SUITE110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546046",
            "telephone_number": "718-886-1171",
            "fax_number": "718-886-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 ROOSEVELT AVE",
            "address_2": "SUITE110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546046",
            "telephone_number": "718-886-1171",
            "fax_number": "718-886-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D. EISENSTADT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "EISENSTADT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "718-886-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "33672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.