Isidore Michael Keiman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07763000 Issued in NJ

Practice address

469 Clifton Avenue
Clifton, NJ 07011

Phone

(973) 253-0266

Fax

(973) 253-0399

NPI assigned

Aug 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Clifton Psychiatry LLC

  • Psychiatry Physician
  • Clifton, NJ
  • NPI 1437115581
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1174532022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALFRED LN APT C",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036218",
            "telephone_number": "973-945-6918",
            "fax_number": "973-253-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CLIFTON AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-253-0266",
            "fax_number": "973-253-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIMAN",
        "first_name": "ISIDORE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07763000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.