Neil L Isdaner, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD017922E Issued in PA

Practice address

7602 Central Ave
Suite 103
Philadelphia, PA 19111-2443

Phone

(215) 745-7411

Fax

(215) 745-7488

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Neil L. Isdaner, MD. PC

  • Obstetrics & Gynecology Physician
  • Philla, PA
  • NPI 1295097616
  NPD (past) Authorized official

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1093783409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-745-7411",
            "fax_number": "215-745-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-745-7411",
            "fax_number": "215-745-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISDANER",
        "first_name": "NEIL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD017922E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "47074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "05971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/PERSONAL CHOICE",
            "identifier": "0052872000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David J Isgan, PA-C
• Adel Yacoub Ishak, D.D.S.

• All providers in Philadelphia, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.