Active NPI
Isaac E Su, MD
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD484167
- Practice address
- 7600 Central Ave
Philadelphia, PA 19111-2442 - Phone
- (215) 728-2275
- NPI assigned
- Jun 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11686 | GA | |
| General Practice Physician | 208D00000X | 92495 | CA | |
| Family Medicine Physician | 207Q00000X | MD484167 | PA | Primary |
Addresses
Primary practice location
7600 Central Ave
Philadelphia, PA 19111-2442
Mailing address
3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 926-9019
Other practice location 1
2336 Dawson Rd Ste 2200
Albany, GA 31707-2801
Phone (229) 312-8797
Other practice location 2
3300 Henry Ave Unit 4
Philadelphia, PA 19129-1141
Phone (215) 475-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914000543 | NJ | Practitioner - General Practice | 0446614663 | Reassigns benefits to 4 organizations |
| I20240603000417 | PA | Practitioner - Family Practice | 0446614663 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Haven Behavioral Services of Philadelphia, LLCEmergency Physician Associates of South Jersey P CTemple Physicians Inc
Practice addresses (Care Compare)
3300 Henry Ave
Unit 4
Philadelphia, PA 19129-1141
Phone (215) 475-3400
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2816
7600 Central Ave
Philadelphia, PA 19111-2499
Phone (215) 728-2000
Hospital & facility affiliations
- Virtua Willingboro Hospital
- West Jersey Hospital
- Jefferson Stratford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.51 of 100
- Quality
- 65.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD484167 | PA | MD | Family Medicine Physician |
| 92495 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physician Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | General Practice | Current | Accepting new patients |
| Emergency Physician Associates of South Jersey P C | Current | Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Atlantic Emergency Physician Team Pediatric Associates, P.C. | Current | Accepting new patients | |
| Temple Physicians Inc. | Current | Accepting new patients | |
| Emergency Physician Services of New Jersey,Professional Association | Current | Accepting new patients | |
| Haven Behavioral Services of Philadelphia, LLC | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Locations
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Philadelphia, PA
- NPI 1912341629
PA
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
NJ
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Turnersville, NJ
- NPI 1700809092
NJ
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
NJ
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
General Practice, NJ
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1013069657
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1023634342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N BROAD ST RM 1A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404106",
"telephone_number": "215-926-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112442",
"telephone_number": "215-728-2275"
}
],
"practiceLocations": [
{
"address_1": "2336 Dawson Rd Ste 2200",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317072801",
"country_code": "US",
"telephone_number": "229-312-8797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Henry Ave Unit 4",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191291141",
"country_code": "US",
"telephone_number": "215-475-3400",
"fax_number": "888-512-0552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SU",
"first_name": "ISAAC",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "11686",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "92495",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD484167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.