Individual provider Active NPI

Jonathan Ross Isaacson, MD

  • Neurology Physician
  • New York, NY
National Provider Identifier
1184184764
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
319274 Issued in NY
Practice address
710 W 168TH St
New York, NY 10032-3726
Phone
(561) 901-5918
NPI assigned
Mar 21, 2019
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD225638 OR
Neurology Physician 2084N0400X 295358 MA
Neurology Physician 2084N0400X 13560-320 WI
Neurology Physician 2084N0400X 319274 NY Primary
Neurology Physician 2084N0400X 0101281694 VA
Neurology Physician 2084N0400X 2025-02971 NC
Neurology Physician 2084N0400X 74081 TN
Neurology Physician 2084N0400X 158625 FL
Neurology Physician 2084N0400X MD61687498 WA

Addresses

Primary practice location

710 W 168TH St
New York, NY 10032-3726

Mailing address

10906 King Bay Dr
Boca Raton, FL 33498-4548
Phone (561) 901-5918

Other practice location 1

58 Carroll St
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 2

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 3

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 4

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 5

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 6

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103

Other practice location 7

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 8

100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 9

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 10

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5070

Other practice location 11

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 12

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 13

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 14

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 15

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 16

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 17

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 18

951 NW 13th St Ste 5E
Boca Raton, FL 33486-2337
Phone (561) 392-1818

Other practice location 19

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 546-5212

Other practice location 20

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, FL, ME, WA, OR, NC, TN, WI9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20240829001883 NY Practitioner - Neurology 6305385709 Reassigns benefits to 2 organizations
I20250326001955 VA Practitioner - Neurology 6305385709 Reassigns benefits to 1 organization
I20250408003717 FL Practitioner - Neurology 6305385709 Reassigns benefits to 2 organizations
I20250508003112 ME Practitioner - Neurology 6305385709 Reassigns benefits to 5 organizations
I20251016001501 WA Practitioner - Neurology 6305385709 Reassigns benefits to 1 organization
I20251016001811 OR Practitioner - Neurology 6305385709 Reassigns benefits to 2 organizations
I20251106001538 NC Practitioner - Neurology 6305385709 Reassigns benefits to 3 organizations
I20251203004580 TN Practitioner - Neurology 6305385709 Reassigns benefits to 1 organization
I20260212003422 WI Practitioner - Neurology 6305385709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Stuart H. Isaacson, M.D, P.a.Group PAC ID 0143486852, 5 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Norton, VA 24273-1616
Phone (423) 630-7001

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5061

951 NW 13 St
Boca Raton, FL 33486-2337
Phone (561) 392-1818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158625FLMDNeurology Physician
2025-02971NCMDNeurology Physician
319274NYMDNeurology Physician
MD225638ORMDNeurology Physician
74081TNMDNeurology Physician
0101281694VAMDNeurology Physician
MD61687498WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Mar 3, 2025 Accepting new patients
Bridgton Hospital CurrentSince Mar 3, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Oct 1, 2025 Accepting new patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Rumford Hospital CurrentSince Mar 3, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Wyoming County CurrentSince Dec 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Stuart H. Isaacson, M.D, P.a. Neurology CurrentSince May 1, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 29, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 23, 2025 Accepting new patients
Bridgton Hospital CurrentSince Mar 3, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Neurology CurrentSince Jun 23, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Central Maine Medical Center Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 23, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 1, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Legacy Clinics LLC CurrentSince Oct 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Oct 1, 2025 Accepting new patients
Wyoming County Current Accepting new patients
Silverton Health CurrentSince Oct 1, 2025 Accepting new patients
Silverton Health CurrentSince Oct 1, 2025 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Dec 23, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Oct 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Aug 29, 2025 Accepting new patients
Rumford Hospital CurrentSince Mar 3, 2025 Accepting new patients

Locations (25 of 45)

951 NW 13th St
Ste 5E
Boca Raton, FL 33486
Phone (561) 392-1818

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

710 W 168th St
Rm 1125A
New York, NY 10032

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

Interoperability endpoints

  • Direct secure messaging: ats9026@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: jisaacson1747039@direct.novanthealth.org
  • Direct secure messaging: jisaacson26534@direct.xtensys.com
  • Direct secure messaging: jisaacson529865@balladhealth.medalliesdirect.net

Organizations & group practices 35

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 35

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1184184764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 KING BAY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984548",
            "telephone_number": "561-901-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "561-901-5918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 NW 13th St Ste 5E",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862337",
            "country_code": "US",
            "telephone_number": "561-392-1818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-546-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "JONATHAN",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD225638",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "295358",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "13560-320",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "319274",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101281694",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-02971",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "74081",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "158625",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61687498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.