Active NPI
Alexis Bernadette Isasi, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1225682339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023754
- Practice address
- 820 2ND Ave RM 3a
New York, NY 10017-4534 - Phone
- (212) 616-3376
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023754 | NY | Primary |
Addresses
Primary practice location
820 2ND Ave RM 3a
New York, NY 10017-4534
Mailing address
114 4TH Ave
Belmar, NJ 07719-2016
Phone (732) 610-0297
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023754 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1225682339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 4TH AVE",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077192016",
"telephone_number": "732-610-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 2ND AVE RM 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174534",
"telephone_number": "212-616-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISASI",
"first_name": "ALEXIS",
"middle_name": "BERNADETTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.