JACOB EISDORFER D.D.S. NPI 1881919728

NPI Information

  • NPI: 1881919728
  • Provider Name: JACOB EISDORFER, D.D.S.
  • Classification: Dentist - 1223D0004X
  • Specialization: Dentist Anesthesiologist
  • Entity Type: Individual
  • Address: 1162 42ND ST
    BROOKLYN, NY
    ZIP 11219
  • Phone: (347) 209-7158

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NPI Details

Jacob Eisdorfer, D.D.S. is a dentist anesthesiologist dentist in Brooklyn, NY. The provider is 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. Jacob Eisdorfer, D.D.S. NPI is 1881919728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1162 42ND ST
BROOKLYN, NY
ZIP 11219-213
Phone: (347) 209-7158

The enumeration date for this NPI number is 4/4/2010 and was last updated on 3/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0004XDentistDentist Anesthesiologist22DI02480400NEW JERSEYNo
2122300000XDentist00055621NEW YORKNo
3122300000XDentist22DI02480400NEW JERSEYNo
41223D0004XDentistDentist Anesthesiologist00055621NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103355406MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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