Individual provider Active NPI

Isabelle Santos Bisda

  • Physician Assistant
  • Union, NJ
National Provider Identifier
1194338731
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00597200 Issued in NJ
Practice address
450 Bailey Ave
Union, NJ 07083-8824
Phone
(908) 967-3633
NPI assigned
Aug 24, 2020
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00597200 NJ Primary

Addresses

Primary practice location

450 Bailey Ave
Union, NJ 07083-8824

Mailing address

450 Bailey Ave
Union, NJ 07083-8824
Phone (908) 967-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000331 NJ Practitioner - Physician Assistant 3274948773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Practice addresses (Care Compare)

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

2 Journal Square PLZ
Suite a
Jersey City, NJ 07306-4001
Phone (551) 325-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00597200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Am PM Walk in Urgent Care Clinic CurrentSince Sep 15, 2025 Accepting new patients
Am PM Primary Care Past Accepting new patients

Locations

19 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-0177

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1194338731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BAILEY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838824",
            "telephone_number": "908-967-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAILEY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838824",
            "telephone_number": "908-967-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISDA",
        "first_name": "ISABELLE",
        "middle_name": "SANTOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00597200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.