EVAN R EISENBERG (NPI# 1750315883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750315883 |
| Entity Type | Individual |
| Full Name | EVAN R EISENBERG |
| Credential | MD |
| Practice Address |
4100 Duff Pl Suite A Seaford NY 11783-1324 |
| Mailing Address |
532 Broadhollow Road Suite 142 Melville NY 11747 |
| Practice Telephone | 5165208080 |
| Practice Fax Number | 5165208877 |
| Mailing Telephone | 5169310041 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 236718 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454921 | Evan Samuel Eisenberg | Nurse Practitioner | 2999 N 44th St Ste 100, Phoenix, AZ 85018-7247 | 2020-07-20 |
| Street Address |
4100 DUFF PL SUITE A |
| City | SEAFORD |
| State | NY |
| Zip Code | 11783-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184687097 | Matthew P Mene | Urology | 4100 Duff Pl, Suite A, Seaford, NY 11783-1324 | 2006-04-11 |
| 1952340010 | Clifford Alan Greco | Dentist | 4100 Duff Pl, Suite G-1, Seaford, NY 11783-1324 | 2006-06-05 |
| 1043273972 | Robert H Mashioff | Urology | 4100 Duff Pl, Suite A, Seaford, NY 11783-1324 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165633 | Emily Rose Demino | Physician Assistant | 3833 Morton Lane, Seaford, NY 11783 | 2019-10-16 |
| 1396260857 | Melissa Cestro | Social Worker | 2565 Harvard Lane, Seaford, NY 11783 | 2017-08-07 |
| 1033535745 | Ronna Pine | Licensed Practical Nurse | 3894 Jane Court, Seaford, NY 11783 | 2014-03-06 |
| 1871831974 | Joanne Sheridan | Speech-Language Pathologist | 751 Seamans Neck Road, East Broadway School, Seaford, NY 11783 | 2013-01-24 |
| 1154685840 | Cindy Schiralli | Specialist | The Hagedorn Little Village School, 650 Hicksville Road, Seaford, NY 11783 | 2012-06-27 |
| 1124389085 | Rosemary Ross | Specialist | 750 Hicksville Road, Seaford, NY 11783 | 2012-06-06 |
| 1760755326 | Seymour Tobin | Family Medicine | 4008 New York Ave, Seaford, NY 11783 | 2012-02-13 |
| 1104198811 | Lisl I Kast | Dentist | 3579 Merrick Rd, Senford, NY 11783 | 2012-01-27 |
| 1609146869 | Lisa Louise Gagliano | Speech-Language Pathologist | 1839 Dogwood Lane, Seaford, NY 11783 | 2012-01-05 |
| 1073843728 | Laura Musillo | Registered Nurse | 4125 Bayberry Lane, Seaford, NY 11783 | 2009-12-31 |
| Find all providers in zip 11783 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719123 | Chesapeake Urology Associates, LLC | Urology | 1340 Middleford Rd Ste 402, Seaford, DE 19973-3665 | 2018-02-05 |
| 1003873415 | Jose L Barriocanal | Urology | 220 Pennsylvania Ave, Seaford, DE 19973-3820 | 2006-04-28 |
| 1184687097 | Matthew P Mene | Urology | 4100 Duff Pl, Suite A, Seaford, NY 11783-1324 | 2006-04-11 |
| 1245235365 | Elizabeth Kornfield Chadwell | Urology | 100 Rawlins Drive, Seaford, DE 19973-9999 | 2005-06-15 |
| 1235314824 | Jose L Barriocanal, Md Pa | Urology | 220 Pennsylvania Ave, Seaford, DE 19973-3820 | 2008-01-02 |
| 1922191568 | David Cohen | Urology | 100 Rawlins Drive, Seaford, DE 19973-9999 | 2006-10-02 |
| 1043273972 | Robert H Mashioff | Urology | 4100 Duff Pl, Suite A, Seaford, NY 11783-1324 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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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.