Organization Active NPI

Iris Eisenberg MD PA

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1851008726
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IRIS EISENBERG MD PA
Doing business as
Oceanway Pediatrics
Practice address
3300 Atlantic Blvd
Jacksonville, FL 32207-8904
Phone
(904) 751-9491
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. Iris Eisenberg, MDNPI 1326046350
Title
Owner
Phone
(904) 751-9491

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3300 Atlantic Blvd
Jacksonville, FL 32207-8904

Mailing address

1560 Lancaster Ter Apt 708
Jacksonville, FL 32204-4146
Phone (904) 386-6958

Other names 1

  • Oceanway Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

3300 Atlantic Blvd
Jacksonville, FL 32207
Phone (904) 398-8611

Practitioners & affiliated clinicians

Practitioners 1

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1851008726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 LANCASTER TER APT 708",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044146",
            "telephone_number": "904-386-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078904",
            "telephone_number": "904-751-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS EISENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-751-9491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanway Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.