Individual provider Active NPI

Isaac E Su, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1023634342
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD484167 Issued in PA
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

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 8426297433, 6 clinicians
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

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 Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
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

LicenseStateTypeSpecialty
MD484167PAMDFamily Medicine Physician
92495CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Jun 1, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC General Practice CurrentSince Jun 10, 2023 Accepting new patients
Emergency Physician Associates of South Jersey P C CurrentSince Mar 1, 2026 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Temple Physicians Inc. CurrentSince Jun 1, 2024 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince Mar 1, 2026 Accepting new patients
Haven Behavioral Services of Philadelphia, LLC CurrentSince May 1, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Family Medicine PastSince Jun 1, 2020 Accepting new patients
Phoebe Physician Group, Inc PastSince Jun 1, 2020 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.