Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jesse Rose Eisenberg, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982044202

Dr. Jesse Rose Eisenberg, MD is an Obstetrics/Gynecology in Staten Island, New York. Qualified in 2013, 13 years ago. Practices with Mass General Brigham Medical Group Western Massachusetts Inc, a 293-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5724 New Utrecht Ave, Brooklyn, NY 11219-4633 — (718) 436-0100

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 285156 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982044202
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mass General Brigham Medical Group Western Massachusetts Inc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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