Isaac S. Mordecai, M.D., F.a.a.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA027514 Issued in NJ

Legal business name

ISAAC S. MORDECAI, M.D., F.A.A.D., P.A.

Practice address

1220 Tilton Rd
Northfield, NJ 08225-1809

Phone

(609) 641-2371

NPI assigned

Mar 17, 2010

Last updated

Mar 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isaac S. Mordecai, M.D.

Title

President/Physician

Phone

(609) 641-2371

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1093039224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251809",
            "telephone_number": "609-641-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251809",
            "telephone_number": "609-641-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC S. MORDECAI, M.D., F.A.A.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MORDECAI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "609-641-2371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA027514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.