MEDICARE: DR. JAMES DAVID 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	N004460	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00652389	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	270130101	OTHER	HEALTHPLUS
2	54N1161	OTHER	NEIGHBORHOOD
4	P467969	OTHER	OXFORD
5	N004460-A15	OTHER	HEALTHFIRST
6	0476734000	OTHER	AMERIHEALTH
7	121063	OTHER	WELLCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	10204559	OTHER	AMERI-GROUP
10	FP6938	OTHER	CENTER CARE
11	0080538	OTHER	GHI
12	100097876501	OTHER	UNITED HEALTHCARE
13	4C4581	OTHER	HEALTHNET
14	N004460	OTHER	HIP
15	P49721	OTHER	BLUE CROSS
16	164441	OTHER	ELDERPLAN
17	MCA0767-01	OTHER	AMERICHOICE

General Provider Information

NPI Number	:	1750464558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DAVID 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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