Organization Active NPI

Ernie Eisenberg DC PC

Doing business as Good Health Chiropractic

  • Chiropractor
  • Massapequa, NY
National Provider Identifier
1851411417
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ERNIE EISENBERG DC PC
Doing business as
Good Health Chiropractic
Practice address
627A Broadway
Massapequa, NY 11758-5030
Phone
(516) 798-5588
Fax
(516) 798-8145
NPI assigned
Mar 29, 2007
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Ernie Eisenberg, DCNPI 1316026503
Title
President
Phone
(516) 798-5588

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

627A Broadway
Massapequa, NY 11758-5030

Mailing address

627A Broadway
Massapequa, NY 11758-5030
Phone (516) 798-5588

Other names 1

  • GOOD HEALTH CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000640 NY Part B Supplier - Clinic/Group Practice 0547435299 Receives reassigned benefits from 1 practitioner
Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory

Locations

627A Broadway
Massapequa, NY 11758
Phone (516) 692-0037

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1851411417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627A BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585030",
            "telephone_number": "516-798-5588",
            "fax_number": "516-798-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627A BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585030",
            "telephone_number": "516-798-5588",
            "fax_number": "516-798-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNIE EISENBERG DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-798-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEALTH CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.