ELI EILENBERG M.D.
NPI 1376639799
Pediatrics in Lakewood, NJ

Active since October 04, 2006CLIA 31D2052954 · Waiver
1771 MADISON AVE, LAKEWOOD, NJ 08701(732) 364-2144(732) 364-3559 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eli Eilenberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELI EILENBERG M.D. (NPI 1376639799) is an individual pediatrics provider in Lakewood, New Jersey, licensed in New Jersey (25MA07518100) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through January 22, 2027.

NPPES Registry Identity

NPI1376639799
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameELI EILENBERGCredential: M.D.
Location Address1771 MADISON AVELakewood, NJ 08701
Mailing Address1771 Madison AveLakewood, NJ 08701 · (732) 364-2144 · Fax (732) 364-3559
Fax(732) 364-3559
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 21, 2012
NPI 1376639799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NJ · 25MA07518100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1771 MADISON AVE, Lakewood, NJ 08701

Other Identifiers 2

Medicaid0149896NJ
Medicare PIN121748NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2052954

Eli Eilenberg MD Faap LLC · Lakewood, NJ
Active · expires Jan 22, 2027
CLIA Number31D2052954
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorEli Eilenberg
Laboratory Phone(732) 363-4003
Laboratory LocationEli Eilenberg MD Faap LLC150 James St Suite 204, Lakewood, NJ 08701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
1771 MADISON AVE, SUITE B
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Psychiatric/Mental Health)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Social Worker
1771 MADISON AVE
LAKEWOOD, NJ 08701
Pediatrics
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
LAKEWOOD, NJ 08701
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Internal Medicine
1771 MADISON AVE
LAKEWOOD, NJ 08701
Physician Assistant
1771 MADISON AVE
LAKEWOOD, NJ 08701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eli Eilenberg's NPI number?

The NPI number for Eli Eilenberg is 1376639799. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Eli Eilenberg located?

Eli Eilenberg practices at 1771 Madison Ave, Lakewood, NJ 08701. The listed phone number is (732) 364-2144.

What is Eli Eilenberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Eli Eilenberg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2052954) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eli Eilenberg was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.