DR. DAVID J EISENBERG (NPI# 1205826682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205826682 |
| Entity Type | Individual |
| Full Name | DR. DAVID J EISENBERG |
| Credential | M.D. |
| Practice Address |
4104 State Highway 30 Amsterdam NY 12010-6202 |
| Mailing Address |
Po Box 1250 99 East State Street Gloversville NY 12078-0010 |
| Practice Telephone | 5188838624 |
| Practice Fax Number | 5188838229 |
| Mailing Telephone | 5187735758 |
| Mailing Fax Number | 5187735456 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 205839 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MDNY | AA50725 | 01 |
| NY | AETNA PPO | 5764669 | 01 |
| NY | 020578NY01 | ANTHEM | 01 |
| NY | HEALTH FIRST | 205839-A30 | 01 |
| NY | UNITED HEALTH CHP | 12-03201 | 01 |
| NY | HIP | 11589P | 01 |
| NY | ATLANTIS | ED5839 | 01 |
| NY | PHCS | 000000496403 | 01 |
| NY | 01901862 | 05 | |
| NY | VYTRA | 88522 | 01 |
| NY | BC/BS | 9U9661 | 01 |
| NY | AETNA HMO | 2096092 | 01 |
| NY | UNITED HEALTH EMPIRE | 74-3149469 | 01 |
| NY | UNITED HEALTH | 1826218 | 01 |
| NY | OXFORD | P1065411 | 01 |
| NY | CIGNA | 6502582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992029425 | David Norman Eisenberg | Optometrist | 7347 136th St, Flushing, NY 11367-2826 | 2010-03-26 |
| 1245394519 | David Howard Eisenberg | Podiatrist | 2572 Tarpley Rd, Suite 100, Carrollton, TX 75006-2328 | 2006-12-21 |
| 1629141429 | David Eisenberg | Registered Nurse | 64236 2nd Ave, Happy Camp, CA 96039 | 2006-11-17 |
| 1700968278 | David Evan Eisenberg | Chiropractor | 310 E 46th St, Apt 5k, New York, NY 10017-3036 | 2006-10-20 |
| 1598867913 | David M Eisenberg | Internal Medicine | Harvard / Osher Institute, 401 Park Drive Ste 22a, Boston, MA 02215 | 2006-09-05 |
| 1235665324 | David Eisenberg | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-05-10 |
| 1740528793 | David Michael Eisenberg | Social Worker | 950 S Octorara Trl, Parkesburg, PA 19365-2100 | 2013-01-26 |
| 1033304415 | David L Eisenberg | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2007-09-10 |
| 1366650038 | David Eisenberg | Surgery | 85 Seymour St, Suite 700, Hartford, CT 06106-5501 | 2007-05-18 |
| 1487706883 | David L Eisenberg | Internal Medicine | 2700 Remington Ave Ste 2000, Baltimore, MD 21211 | 2007-01-17 |
| Street Address |
4104 STATE HIGHWAY 30 |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160549 | Kristen Anne Decelli | Nurse Practitioner | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2018-07-16 |
| 1518376292 | Julie Tesi | Advanced Practice Midwife | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2014-08-07 |
| 1801050117 | Clara Shnaidman | Internal Medicine | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2008-07-16 |
| 1578774873 | Matthew Clyde Lynch | Psychiatry & Neurology | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2007-05-25 |
| 1144355520 | Brijesh Kumar Tantuwaya | Pediatrics | 4104 State Highway 30, Perth Primary Care Center, Amsterdam, NY 12010-6202 | 2007-02-23 |
| 1316087190 | Jan Carstens | Emergency Medicine | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2007-02-08 |
| 1265587117 | Theresa Intilli Klausner | Nurse Practitioner | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2007-01-23 |
| 1568549608 | Hamid Aziz Rehman | Internal Medicine | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2006-11-01 |
| 1144306283 | James Hopper | Physician Assistant | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2006-10-31 |
| 1770689986 | Glenn Pizarro | Family Medicine | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2006-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154585347 | Adipediatrics | Pediatrics | 2614 Riverfront Ctr, Amsterdam, NY 12010-4615 | 2008-07-16 |
| 1083771463 | Proshanta Saha | Pediatrics | 4988 State Hwy 30, 1st Floor, Amsterdam, NY 12010-4614 | 2007-01-03 |
| 1598822983 | Proshanta Saha, M.d., P.C. | Pediatrics | 2500 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2007-01-03 |
| 1033204359 | Kurt M Konieczny | Pediatrics | 373 Division St, Amsterdam, NY 12010-1018 | 2006-10-03 |
| 1225146574 | Govind C K Rao | Pediatrics | 1 Front, Neena Rao Medical Center, Amsterdam, NY 12010 | 2006-08-28 |
| 1013986025 | Padma Adi | Pediatrics | 2614 River Front Center, Amsterdam, NY 12010 | 2006-03-14 |
| 1477992998 | Mahvash Majeed | Pediatrics | 4988 State Highway 30, 1st Floor, Amsterdam, NY 12010-7520 | 2013-06-18 |
| 1952661738 | St. Mary's Healthcare | Pediatrics | 4988 State Hwy 30, 1st Floor, Amsterdam, NY 12010 | 2012-05-25 |
| 1144355520 | Brijesh Kumar Tantuwaya | Pediatrics | 4104 State Highway 30, Perth Primary Care Center, Amsterdam, NY 12010-6202 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
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| 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.