Organization Active NPI

Josephine Iskander, MD PLLC

  • Medicare Defined Swing Bed Hospital Unit
  • Troy, MI
National Provider Identifier
1043549165
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
4301085250 Issued in MI
Legal business name
JOSEPHINE ISKANDER, MD PLLC
Practice address
44199 Dequindre Rd
Ste 304
Troy, MI 48085-1128
Phone
(248) 964-6407
Fax
(248) 964-9644
NPI assigned
Dec 19, 2009
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. Josephine Iskander, MDNPI 1366629156
Title
President
Phone
(248) 841-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 4301085250 MI Primary

Addresses

Primary practice location

44199 Dequindre Rd
Ste 304
Troy, MI 48085-1128

Mailing address

906 Majestic
Rochester Hills, MI 48306-3575
Phone (248) 841-1721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000273 MI Part B Supplier - Clinic/Group Practice 3678608130 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI; Troy, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1043549165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MAJESTIC",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063575",
            "telephone_number": "248-841-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "STE 304",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-6407",
            "fax_number": "248-964-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE ISKANDER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-19",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "ISKANDER",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-841-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MI",
            "license": "4301085250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.