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

Evan R Eisenberg, MD

Individual provider Urology Physician · NPI 1750315883

Evan R Eisenberg, MD is an Urology in Seaford, New York. Graduated from State University of New York Downstate Medical Center in 2001, 25 years ago. Practices with Integrated Medical Professionals PLLC, a 98-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
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

4100 Duff Pl Ste A
Seaford, NY 11783-1324
Phone: (516) 520-8080
Fax: (516) 520-8877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 236718 (NY)

Record details

NPI number1750315883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 7, 2011
Mailing address532 Broadhollow Road, Suite 142, Melville, NY 11747

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2001 (25 years in practice)
Group practice Integrated Medical Professionals Pllc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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