Individual provider Active NPI

Arnold Lewis Isaacson, D.P.M.

  • Foot Surgery Podiatrist
  • Jefferson Valley, NY
National Provider Identifier
1205990017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003506 Issued in NY
Practice address
3630 Hill Blvd
Suite 104
Jefferson Valley, NY 10535-1502
Phone
(914) 962-5571
Fax
(914) 962-5574
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003506 NY Primary

Addresses

Primary practice location

3630 Hill Blvd
Suite 104
Jefferson Valley, NY 10535-1502

Mailing address

3630 Hill Blvd
Suite 104
Jefferson Valley, NY 10535-1502
Phone (914) 962-5571

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000176 NY Practitioner - Podiatry 7517080575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003506NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Valley Podiatry Associates, P.C. Foot Surgery CurrentSince Apr 1, 2011 Accepting new patients

Locations

3630 Hill Blvd
Ste 104
Jefferson Vly, NY 10535
Phone (914) 240-3700

Interoperability endpoints

  • Direct secure messaging: ali9028@direct.nyp.org
  • Direct secure messaging: arnold.isaacson@direct.hvhc.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205990017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "SUITE 104",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-962-5571",
            "fax_number": "914-962-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "SUITE 104",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-962-5571",
            "fax_number": "914-962-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ARNOLD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

Verify at the official NPI Registry.