Evan R Eisenberg (NPI# 1750315883, PAC ID# 8921001660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1750315883 |
| PAC ID by PECOS | 8921001660 |
| Professional Enrollment ID | I20060817000530 |
| Full Name | Evan R Eisenberg |
| Organization Legal Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Address |
42 -95 Hempstead Tnpk Bethpage NY 11714-5713 |
| Phone Number | 5165796000 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2001 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6406868462 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| 330195 | NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 42 -95 Hempstead Tnpk, Bethpage, NY 11714-5713 | 5165796000 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| 340 Broadhollow Rd, Suite E, Farmingdale, NY 11735-4807 | 5162807930 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| 4100 Duff Pl A, Seaford, NY 11783-1324 | 5165208080 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Organization Legal Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Maria C Contreras | Nurse Practitioner | Integrated Medical Professionals Pllc | 1305 Franklin Ave, Suite 100, Garden City, NY 11530-1630 |
| Howard S Lynn | Urology | Integrated Medical Professionals Pllc | 340 Broadhollow Rd, Suite E, Farmingdale, NY 11735-4807 |
| Matthew L Woolley | Urology | Integrated Medical Professionals Pllc | 4100 Duff Pl A, Seaford, NY 11783-1324 |
| Ann E Anderson | Pathology | Integrated Medical Professionals Pllc | 100 Charles Lindbergh Blvd, Suite B, Uniondale, NY 11553-3631 |
| Jeffrey T Layne | Urology | Integrated Medical Professionals Pllc | 42 -95 Hempstead Tnpk, Bethpage, NY 11714-5713 |
| Brett C Mellinger | Urology | Integrated Medical Professionals Pllc | 585 Stewart Ave, L14, Garden City, NY 11530-4783 |
| Marc Schumer | Urology | Integrated Medical Professionals Pllc | 155 Broadway, Amityville, NY 11701-2729 |
| Matthew P Mene | Urology | Integrated Medical Professionals Pllc | 480 Hicksville Rd, Bethpage, NY 11714-3415 |
| Arvin J Adler | Radiation Oncology | Integrated Medical Professionals Pllc | 101 S Central Ave, Hartsdale, NY 10530-2317 |
| Street Address |
42 -95 HEMPSTEAD TNPK |
| City | BETHPAGE |
| State | NY |
| Zip | 11714-5713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey T Layne | Urology | Integrated Medical Professionals Pllc | 42 -95 Hempstead Tnpk, Bethpage, NY 11714-5713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abra J Walter | Psychologist, Clinical | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 | |
| Valerie Miele | Occupational Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Andrea D Gray Pincus | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Timothy Flynn Glover Sr. | Physical Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Kathleen P Orourke | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Rose M Scammell | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Randi H Schleifer | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nanette Nicotra Gingo | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Ivy D Chung | Family Practice | Charles Evans Center, Inc | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nancy Marsh | Clinical Social Worker | 32 Sherman Ave, Bethpage, NY 11714-2422 | |
| Find all physicians in zip 11714 | |||
| City | BETHPAGE |
| Zip Code | 11714 |
| Specialty | UROLOGY |
| City + Specialty | BETHPAGE + UROLOGY |
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| 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.