MEDICARE: JILL LORI EINHORN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N004759	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	P00656527	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	01047729	OTHER	AMERI-GROUP
2	4C4582	OTHER	HEALTHNET
3	MCA1092-01	OTHER	AMERICHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	N004759	OTHER	HIP
6	KS679	OTHER	OXFORD
7	N004759-B15	OTHER	HEALTHFIRST
8	0281103000	OTHER	AMERIHEALTH
9	030004759NY01	OTHER	ANTHEM
10	164339	OTHER	ELDERPLAN
11	54N1151	OTHER	NEIGHBORHOOD
12	SP6923	OTHER	CENTER CARE
14	P53762	OTHER	BLUE CROSS
15	1193321	OTHER	UNITED HEALTHCARE
16	1499912	OTHER	GHI
17	270120101	OTHER	HEALTHPLUS

General Provider Information

NPI Number	:	1427131234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL LORI EINHORN DPM

Provider Business Mailing Address
First Line	:	2616 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5010
Country	:	US
Telephone Number	:	718-891-2706
Fax Number	:	718-648-9041

Provider Business Practice Location Address
First Line	:	2616 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5010
Country	:	US
Telephone Number	:	718-891-2706
Fax Number	:	718-648-9041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/28/2009

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