Individual provider Active NPI

Paul Salib Isaac, PHARMACIST

  • Pharmacist
  • New York, NY
National Provider Identifier
1205486883
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065738 Issued in NY
Practice address
591 1St Ave Apt 1
New York, NY 10016-6415
Phone
(347) 221-9471
NPI assigned
Sep 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 065738 NY Primary

Addresses

Primary practice location

591 1St Ave Apt 1
New York, NY 10016-6415

Mailing address

591 1St Ave Apt 1
New York, NY 10016-6415
Phone (347) 221-9471

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.isaac@my.liu.edu NYU Langone Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
065738NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205486883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 1ST AVE APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166415",
            "telephone_number": "347-221-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 1ST AVE APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166415",
            "telephone_number": "347-221-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "PAUL",
        "middle_name": "SALIB",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.isaac@my.liu.edu",
            "affiliation": "Y",
            "endpointDescription": "Univeristy email",
            "affiliationName": "NYU Langone Medical Center",
            "address_1": "550 1st Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.