Provider Demographics
NPI:1750464558
Name:EINHORN, JAMES DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:EINHORN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5010
Mailing Address - Country:US
Mailing Address - Phone:718-891-2706
Mailing Address - Fax:718-648-9041
Practice Address - Street 1:2616 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5010
Practice Address - Country:US
Practice Address - Phone:718-891-2706
Practice Address - Fax:718-648-9041
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004460213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
270130101OtherHEALTHPLUS
54N1161OtherNEIGHBORHOOD
NYP00652389OtherRAIL ROAD MEDICARE
P467969OtherOXFORD
N004460-A15OtherHEALTHFIRST
0476734000OtherAMERIHEALTH
121063OtherWELLCARE
NY01112330Medicaid
10204559OtherAMERI-GROUP
FP6938OtherCENTER CARE
0080538OtherGHI
100097876501OtherUNITED HEALTHCARE
4C4581OtherHEALTHNET
N004460OtherHIP
P49721OtherBLUE CROSS
164441OtherELDERPLAN
MCA0767-01OtherAMERICHOICE
121063OtherWELLCARE
MCA0767-01OtherAMERICHOICE
N004460OtherHIP