Joseph Walter Eichenbaum, MD MPH

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

120319 Issued in NY

Practice address

1050 Park Avenue
New York, NY 10028

Phone

(212) 289-7200

Fax

(212) 289-7474

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Icahn School of Medicine at Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  Medicare reassignment
• New York Oncology

  • Hematology & Oncology Physician
  • New York, NY
  • NPI 1295817567
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1962596783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-289-7200",
            "fax_number": "212-289-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 PARK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "212-289-7200",
            "fax_number": "212-289-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBAUM",
        "first_name": "JOSEPH",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "120319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Jared Ehrmann, M.D., M.S.
• Zachary Ehrmann, MAED, MHP, LMHC
• Joan Allen Eichelberger, C.R.N.A.
• Golda Eichen, MD
• Barry Eichenbaum, PSYD
• Luise Ronni Eichenbaum, LCSW
• Miriam Eichenbaum
• Nancy Eichengreen
• Amanda Eichenstein, PA-C
• Erin Elizabeth Eichhorn, CBD

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.