Organization Active NPI

Leonard Eisner,DDS & Melinda Blume,DDS

  • Endodontics
  • Freehold, NJ
National Provider Identifier
1962673871
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
14267 Issued in NJ
Legal business name
LEONARD EISNER,DDS & MELINDA BLUME,DDS
Practice address
4251 Route 9 N
Freehold, NJ 07728-8303
Phone
(732) 577-1855
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Leonard Eisner
Title
Partner
Phone
(732) 577-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 14267 NJ Primary

Addresses

Primary practice location

4251 Route 9 N
Freehold, NJ 07728-8303

Mailing address

4251 Route 9 N
Freehold, NJ 07728-8303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1962673871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 ROUTE 9 N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 ROUTE 9 N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-577-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD EISNER,DDS & MELINDA BLUME,DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "EISNER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-577-1855"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "14267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.