Jacob Eisdorfer (NPI# 1487706255, PAC ID# 4789827197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1487706255 |
| PAC ID by PECOS | 4789827197 |
| Professional Enrollment ID | I20130904000883 |
| Full Name | Jacob Eisdorfer |
| Organization Legal Name | ST JOHN'S MEDICAL SERVICES PC |
| Address |
275 Rockaway Tpke Lawrence NY 11559-1272 |
| Phone Number | 5164009302 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2007 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 1850314865 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| Address | Phone | Organization |
|---|---|---|
| 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 7188697919 | ST JOHN'S MEDICAL SERVICES PC |
| 275 Rockaway Tpke, Lawrence, NY 11559-1272 | 5164009302 | ST JOHN'S MEDICAL SERVICES PC |
| Organization Legal Name | ST JOHN'S MEDICAL SERVICES PC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahava Hersh | Family Medicine | St John's Medical Services PC | 495 Beach 20th St, Far Rockaway, NY 11691-3621 |
| Victoria M Filippi Backus | Nurse Practitioner | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Yating Lee | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Alexander Tsynman | Psychiatry | St John's Medical Services PC | 1908 Brookhaven Ave, Far Rockaway, NY 11691-3626 |
| Susana D Bundoc | Internal Medicine | St John's Medical Services PC | 431 Beach 20th St, Far Rockaway, NY 11691-3621 |
| Donald T Morrish | Obstetrics/gynecology | St John's Medical Services PC | 1919 Brookhaven Ave, Cp108, Far Rockaway, NY 1169136ND |
| Nnamdi Odiah | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Mastan R Lokireddy | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Steven Rubel | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Narinder P Grewal | General Surgery | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Street Address |
275 ROCKAWAY TPKE |
| City | LAWRENCE |
| State | NY |
| Zip | 11559-1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yating Lee | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Narinder P Grewal | General Surgery | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Andrew J Singer | Psychiatry | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Jonathan E Eckstein | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Theadore A Hufford | General Surgery | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Letora U Washington | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Jackie J Battista | General Surgery | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Carl Frederic Bastien | Internal Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Richard Steward | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Roman T Pachulski | Cardiovascular Disease (cardiology) | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold Hefter | Dermatology | 135 Rockaway Tkpe, Suite 100, Lawrence, NY 11559 | |
| Debra L Breitman | Podiatry | 135 Rockaway Tpke, Suite 107, Lawrence, NY 11559-1023 | |
| Raul Mendoza | Cardiovascular Disease (cardiology) | 135 Rockaway Tpke, Suite 103, Lawrence, NY 11559-1023 | |
| Marcel Scheinman | Plastic and Reconstructive Surgery | 135 Rockaway Tpke, Suite 108, Lawrence, NY 11559-1033 | |
| Debra B Solomon | Optometry | Debra Beth Solomon Od PC | 605 Rockaway Tpke, Lawrence, NY 11559-1047 |
| Michael Peter Derosa | Chiropractic | 208 Lawrence Ave, Lawrence, NY 11559-1207 | |
| Neil Theodore Smith | Family Medicine | Arsenio Medical, P.C. | 215 Rockaway Tpke, Lawrence, NY 11559-1216 |
| Dominic Md Spera | Internal Medicine | Arsenio Medical, P.C. | 215 Rockaway Tpke, Lawrence, NY 11559-1216 |
| Steven Z Jacobs | Physician Assistant | Arsenio Medical, P.C. | 215 Rockaway Tpke, Lawrence, NY 11559-1216 |
| Ruth E Schap | Nurse Practitioner | Arsenio Medical, P.C. | 215 Rockaway Tpke, Lawrence, NY 11559-1216 |
| Find all physicians in zip 11559 | |||
| City | LAWRENCE |
| Zip Code | 11559 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | LAWRENCE + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Jacob Eisdorfer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.