Provider Demographics
NPI:1619063690
Name:EISENBERG, NELL (MD)
Entity Type:Individual
Prefix:DR
First Name:NELL
Middle Name:
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:NELL
Other - Last Name:EISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 EAST 68TH ST, BOX 130
Mailing Address - Street 2:DIVISION OF HOSPITAL MEDICINE, WEILL CORNELL MEDICAL CO
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-4071
Mailing Address - Fax:212-746-4734
Practice Address - Street 1:525 EAST 68TH ST, BOX 130
Practice Address - Street 2:DIVISION OF HOSPITAL MEDICINE, WEILL CORNELL MEDICAL CO
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-4071
Practice Address - Fax:212-746-4734
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220819207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02253749Medicaid
NY02253749Medicaid
NY065AX1Medicare ID - Type Unspecified