Active NPI
Charles Julian Isaacs, D.D.S.
- Dentist
- Queens Village, NY
National Provider Identifier
1023305653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056108
- Practice address
- 9329 Hollis Court Blvd
Queens Village, NY 11428-1528 - Phone
- (347) 676-1758
- NPI assigned
- Jul 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056108 | NY | Primary |
Addresses
Primary practice location
9329 Hollis Court Blvd
Queens Village, NY 11428-1528
Mailing address
9329 Hollis Court Blvd
Queens Village, NY 11428-1528
Phone (347) 676-1758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056108 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347753600000",
"number": "1023305653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9329 HOLLIS COURT BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281528",
"telephone_number": "347-676-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9329 HOLLIS COURT BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281528",
"telephone_number": "347-676-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "CHARLES",
"middle_name": "JULIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-04",
"last_updated": "2012-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.