Individual provider Active NPI

Yakov Isakov

  • Neurology Physician
  • New York, NY
National Provider Identifier
1205096310
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
246063 Issued in NY
Practice address
710 W 168TH St
1-15
New York, NY 10032-3726
Phone
(212) 305-5703
Fax
(212) 305-6978
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 246063 NY Primary

Addresses

Primary practice location

710 W 168TH St
1-15
New York, NY 10032-3726

Mailing address

225 Broadway Ste 705
New York, NY 10007-3791
Phone (212) 349-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111012000195 NY Practitioner - NeurologyPractitioner - Hospitalist 8325210594 Reassigns benefits to 3 organizations
I20220329002174 NJ Practitioner - NeurologyPractitioner - Psychiatry 8325210594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246063NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Complete Neurological Care PC Neurology CurrentSince Apr 1, 2018 Accepting new patients
Saint Peter'S University Hospital CurrentSince Jan 1, 2022 Accepting new patients
Montefiore Nyack Hospital Neurology CurrentSince Jan 29, 2020 Accepting new patients
Saint Peter'S University Hospital Current Accepting new patients
Montefiore Nyack Hospital CurrentSince Jan 29, 2020 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Dec 17, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Dec 17, 2021 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Interoperability endpoints

  • Direct secure messaging: yisakov@direct.health-quest.org
  • Direct secure messaging: yisakov101731@epicdirect.rwjbh.org
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yisakov@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1205096310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073791",
            "telephone_number": "212-349-2787",
            "fax_number": "212-349-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "address_2": "1-15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-5703",
            "fax_number": "212-305-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKOV",
        "first_name": "YAKOV",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "246063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.