Matthew D Eisert, PA-C

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PA9101010 Issued in FL

Practice address

550 Northlake Blvd
North Palm Beach, FL 33408-5409

Phone

(561) 842-3694

Fax

(561) 842-3774

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1922052216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085409",
            "telephone_number": "561-842-3694",
            "fax_number": "561-842-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085409",
            "telephone_number": "561-842-3694",
            "fax_number": "561-842-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISERT",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PA9101010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039775000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis J Egitto, MD
• Michael J Egitto, DDS
• Jason Scott Ehrenman, D.M.D.
• Jon J Ehrich, D.O.
• William Lawrence Eickhoff, DDS
• Elan Recovery and Wellness of North Palm Beach
• Elevation Pharmacy LLC
• Shimon Eliezer
• Rami Joseph Elkhechen, M.D.
• Wayne Gordon Elliott, M.D.

• Physical Medicine & Rehabilitation Physician in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.