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JACOB EISDORFER D.D.S.
NPI 1881919728
Dentist - Dentist Anesthesiologist in Brooklyn, NY

Active since April 04, 2010
1162 42ND ST, BROOKLYN, NY 11219(347) 209-7158 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Eisdorfer D.d.s. NPPES

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

JACOB EISDORFER D.D.S. (NPI 1881919728) is an individual dentist anesthesiologist in Brooklyn, New York, licensed in New York (00055621) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1881919728
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameJACOB EISDORFERCredential: D.D.S.
Location Address1162 42ND STBrooklyn, NY 11219-1213
Mailing Address1162 42nd StBrooklyn, NY 11219-1213
Phone(347) 209-7158
Sole ProprietorYes
Enumeration DateApril 4, 2010
Last NPPES UpdateMarch 24, 2015
✔ NPI 1881919728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses✔ Licensed in NY · 00055621✔ Licensed in NJ · 22DI02480400
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentistTaxonomy 122300000X · License 00055621 (NY), 22DI02480400 (NJ)
1162 42ND ST, Brooklyn, NY 11219
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Other Identifiers 1

Medicaid03355406NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Jacob Eisdorfer's NPI number?

The NPI number for Jacob Eisdorfer is 1881919728. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Where is Jacob Eisdorfer located?

Jacob Eisdorfer practices at 1162 42nd St, Brooklyn, NY 11219. The listed phone number is (347) 209-7158.

What is Jacob Eisdorfer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Jacob Eisdorfer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jacob Eisdorfer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Eisdorfer was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.