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MS. REBECCA MICHELLE EICHENBAUM MD
NPI 1760917801
Student in an Organized Health Care Education/Training Program in Glen Oaks, NY

Active since April 26, 2017PECOS Enrolled
75-59 263RD STREET, GLEN OAKS, NY 11004(718) 470-8005(718) 962-7717 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 19, 2021, Sep 10, 2019, Apr 26, 2017 (3 updates tracked since 2017).

About Ms. Rebecca Michelle Eichenbaum Md NPPES

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

MS. REBECCA MICHELLE EICHENBAUM MD (NPI 1760917801) is an individual student in an organized health care education/training program in Glen Oaks, New York and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760917801
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. REBECCA MICHELLE EICHENBAUMCredential: MD
Location Address75-59 263RD STREETGlen Oaks, NY 11004
Mailing Address75-59 263rd StreetGlen Oaks, NY 11004 · (718) 470-8005 · Fax (718) 962-7717
Phone(718) 470-8005
Fax(718) 962-7717
Sole ProprietorNo
Enumeration DateApril 26, 2017
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1760917801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
75-59 263RD STREET, Glen Oaks, NY 11004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rebecca Michelle Eichenbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JENNIFER RAHMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
75-59 263RD STREET, ROOM K219
GLEN OAKS, NY 11004
Queens County (718) 470-4032
SNEHA RAJAN BRAY MD
Student in an Organized Health Care Education/Training Program
75-59 263RD STREET
GLEN OAKS, NY 11004
Queens County (718) 470-8005
MITA KALE MD
Student in an Organized Health Care Education/Training Program
75-59 263RD STREET
GLEN OAKS, NY 11004
Queens County (718) 470-8005
EMILY KLASS PHD
Psychologist (Clinical Child & Adolescent)
75-59 263RD STREET, THE ZUCKER HILLSIDE HOSPITAL
GLEN OAKS, NY 11004
Queens County (718) 470-4707
MITCHELL SHAPIRO PSYD
Psychologist
75-59 263RD STREET, ZUCKER HILLSIDE HOSPITAL & DIV. OF PSYCHOLOGY
GLEN OAKS, NY 11004
Queens County (718) 470-8390
JOHN KANE
Psychiatry & Neurology (Psychiatry)
75-59 263RD STREET, THE ZUCKER HILLSIDE HOSPITAL -DEPT OF PSYCHIATRY
GLEN OAKS, NY 11004
Queens County (718) 470-8141
RENAT KHASANOV MSN, PMHNP-BC, RN
Nurse Practitioner (Psychiatric/Mental Health)
75-59 263RD STREET
GLEN OAKS, NY 11004
Queens County (718) 470-5750
JENNIFER LYNN ORSOMARSO LCSW
Social Worker (Clinical)
75-59 263RD STREET, ZUCKER HILLSIDE HOSPITAL
GLEN OAKS, NY 11004
Queens County (718) 470-8540

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 Rebecca Eichenbaum's NPI number?

The NPI number for Rebecca Eichenbaum is 1760917801. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Rebecca Eichenbaum located?

Rebecca Eichenbaum practices at 75-59 263rd Street, Glen Oaks, NY 11004. The listed phone number is (718) 470-8005.

What is Rebecca Eichenbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rebecca Eichenbaum enrolled in Medicare?

Yes. Rebecca Eichenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Eichenbaum was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.