Active NPI
Jo Eisman, D.C.
- Chiropractor
- Long Beach, NY
National Provider Identifier
1972543320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3172
- Practice address
- 714 E Park Ave
Long Beach, NY 11561-2605 - Phone
- (516) 431-7972
- Fax
- (516) 431-7944
- NPI assigned
- Jun 7, 2006
- Last updated
- May 28, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3172 | NY | Primary |
Addresses
Primary practice location
714 E Park Ave
Long Beach, NY 11561-2605
Mailing address
714 E Park Ave
Long Beach, NY 11561-2605
Phone (516) 431-7972
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320923 | Other | NY | AETNA |
| 1972543320 | Other | NY | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003172 | NY | MD | Mental Health Counselor |
| 3172 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1972543320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612605",
"telephone_number": "516-431-7972",
"fax_number": "516-431-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612605",
"telephone_number": "516-431-7972",
"fax_number": "516-431-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISMAN",
"first_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "3172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "320923",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "1972543320",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.