Individual provider Active NPI

George Isaac, M.D.

  • Psychiatry Physician
  • Flushing, NY
National Provider Identifier
1043279342
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
71577 Issued in MA
Practice address
14620 Hawthorne Ave
Flushing, NY 11355-2238
Phone
(718) 539-3386
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 71577 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 150947 NY

Addresses

Primary practice location

14620 Hawthorne Ave
Flushing, NY 11355-2238

Mailing address

14620 Hawthorne Ave
Flushing, NY 11355-2238
Phone (718) 539-3386

Other identifiers 1

IdentifierTypeStateIssuer
01221383MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20040228000324 NY Practitioner - Psychiatry 9537056213 Reassigns benefits to 6 organizations
Practice locations: Flushing, NY
I20220929001306 FL Practitioner - Psychiatry 9537056213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1965
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Community Counseling and MediationGroup PAC ID 5294960936, 12 clinicians
Nassau Psychiatric Services PCGroup PAC ID 4385930825, 5 clinicians

Practice addresses (Care Compare)

25 Elm PL
FL 2
Brooklyn, NY 11201-5355
Phone 7188020666243

5 W Main St
Suite 206
Elmsford, NY 10523-2448
Phone (914) 345-9154

626 RXR PLZ
Uniondale, NY 11556-3829
Phone (516) 280-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71577MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Center of Ny, Inc. CurrentSince Apr 30, 2018 Accepting new patients
Medicalpsych Care, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Epic Long Island CurrentSince Apr 2, 2019 Accepting new patients
Nassau Psychiatric Services, P.C. CurrentSince Jul 1, 2016 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Apr 2, 2019 Accepting new patients
Doctors Isaac & Isaac Psychiatric PA CurrentSince Sep 1, 2022 Accepting new patients
Beacon Place LLC CurrentSince Apr 18, 2023 Accepting new patients
Karat Health, Inc. Past Accepting new patients
Welllife Network Inc. Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Samuel Field Ym&Ywha PastSince Feb 24, 1994 Accepting new patients
Continental Psychiatric Services, PLLC Psychiatry Past Accepting new patients
Welllife Network Inc Past Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients

Locations

3310 Cleveland Heights Blvd
Ste 203
Lakeland, FL 33803
Phone (718) 614-5600

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

5 W Main St
Ste 206
Elmsford, NY 10523
Phone (718) 614-5600

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

601 Franklin Ave
Ste 120
Garden City, NY 11530
Phone (516) 280-9030

583 State Route 32
Ste 5U
Highland Mills, NY 10930
Phone (845) 827-6680

583 State Route 32
Highland Mls, NY 10930
Phone (845) 203-1400

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1043279342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 HAWTHORNE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552238",
            "telephone_number": "718-539-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14620 HAWTHORNE AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552238",
            "telephone_number": "718-539-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "71577",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "150947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01221383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.