Active NPI
Eliezer L. Offenbacher, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 147975-1
- Practice address
- 2270 Kimball St
Suite 102
Brooklyn, NY 11234-5139 - Phone
- (718) 253-6616
- Fax
- (718) 407-1140
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 147975-1 | NY | Primary |
Addresses
Primary practice location
2270 Kimball St
Suite 102
Brooklyn, NY 11234-5139
Mailing address
2270 Kimball St
Suite 102
Brooklyn, NY 11234-5139
Phone (718) 253-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00897383 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3852 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 743-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147975-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Brooklyn Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. | Diagnostic Radiology | Current | Accepting new patients |
| MRI Associates of Queens, PC | Current | Accepting new patients | |
| Simon Lipetz MD. P.C | Current | Accepting new patients | |
| Radiology Associates of Brooklyn, LLP | Past | Accepting new patients | |
| Stony Brook Radiologic Services PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3852 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 723-4300
10460 Queens Blvd
Ste Ch
Forest Hills, NY 11375
Phone (212) 663-3600
9237 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 544-7994
1776 Richmond Rd
Staten Island, NY 10306
Phone (718) 370-8900
2052 Richmond Rd
Ste B
Staten Island, NY 10306
Phone (201) 888-7877
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1851640817
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1174537948
-
- Legal Medicine
- Forest Hills, NY
- NPI 1235338138
-
- Specialist
- Forest Hills, NY
- NPI 1578601662
-
- Specialist
- Brooklyn, NY
- NPI 1134244916
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1295780112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1891746517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 102",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-6616",
"fax_number": "718-407-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 102",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-6616",
"fax_number": "718-407-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFENBACHER",
"first_name": "ELIEZER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "147975-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00897383",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.