ELLEN EISENBERG (NPI# 1013913367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013913367 |
| Entity Type | Individual |
| Full Name | ELLEN EISENBERG |
| Credential | DMD |
| Practice Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Mailing Address |
263 Farmington Ave Provider Enrollment Farmington CT 06030-2212 |
| Practice Telephone | 8606792952 |
| Practice Fax Number | 8606794760 |
| Mailing Telephone | 8606797503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
005451 | CT | Dental Providers |
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
005451 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 2054518 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816136 | Ellen Eisenberg | Pediatrics | 4599 Nw 26th Ave, Boca Raton, FL 33434-2521 | 2017-08-08 |
| 1598793606 | Ellen Harriet Eisenberg | Internal Medicine | 1 Medical Center Dr, Dhmc - Internal Medicine, Lebanon, NH 03756-1000 | 2006-06-29 |
| 1063458511 | Ellen G Eisenberg | Social Worker | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-06-22 |
| Street Address |
263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922294685 | O.m.s. Associates, P.C. | Dentist | 1 Torrington Plaza, Suite 103, Torrington, CT 06790 | 2007-09-17 |
| 1750301982 | Paul A Bocciarelli | Dentist | 506 Cromwell Ave., Suite 203, Rocky Hill, CT 06067 | 2006-07-20 |
| 1427083468 | Ronald B. Herriott | Dentist | 259 Farmington Ave, Bristol, CT 06010-3901 | 2006-07-11 |
| 1275527772 | Steven L Berke | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| 1407455538 | Glastonbury Implant Dentistry Oral and Facial Surgury Center PC | Dentist | 131 New London Tpke, Glastonbury, CT 06033-2246 | 2020-10-20 |
| 1114312469 | Yale-new Haven Hospital | Dentist | 789 Howard Ave, Dana 2, New Haven, CT 06519-1304 | 2015-04-03 |
| 1669518932 | Kevin Sean Mclaughlin | Dentist | 148 East Ave, Suite 2f, Norwalk, CT 06851-5721 | 2007-01-30 |
| 1154344281 | Ross J Sanfilippo | Dentist | 4 Shaws Cv, Suite 203, New London, CT 06320-4956 | 2006-07-26 |
| 1164416699 | Donald A Amaro | Dentist | 130 New London Tpke, Norwich, CT 06360-2624 | 2005-09-12 |
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on ELLEN EISENBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.