Individual provider Active NPI

Nadine M Eisenberg, O.D.

  • Corneal and Contact Management Optometrist
  • New York, NY
National Provider Identifier
1881822880
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TUV007419-1 Issued in NY
Practice address
539 Park Ave
New York, NY 10065-8167
Phone
(212) 758-0772
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV007419-1 NY Primary
Vision Therapy Optometrist 152WV0400X TUV007419-1 NY
Occupational Vision Optometrist 152WX0102X TUV007419-1 NY

Addresses

Primary practice location

539 Park Ave
New York, NY 10065-8167

Mailing address

539 Park Ave
New York, NY 10065-8167
Phone (212) 758-0772

Other names 1

  • Dr. Nadine M Jamal Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101206000914 NY Practitioner - Optometry 1254528052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Cooper OD PCGroup PAC ID 8628042892, 13 clinicians

Practice addresses (Care Compare)

539 Park Ave
New York, NY 10065-8167
Phone (212) 758-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007419NYMDMental Health Counselor
TUV007419-1NYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Cooper O.D., P.C. Current Accepting new patients
Jeffrey Cooper OD PC Corneal and Contact Management CurrentSince Sep 23, 2010 Accepting new patients
Jeffrey Cooper O.D., P.C. CurrentSince Sep 23, 2010 Accepting new patients
North Shore Optometric Group, PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1881822880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "NADINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV007419-1",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV007419-1",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "TUV007419-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "JAMAL",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.