Individual provider Active NPI

Mordechai Izsak, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1255051587
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351232 Issued in NY
Practice address
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone
(718) 444-7766
NPI assigned
Aug 29, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351232 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407728 NY
Registered Nurse 163W00000X 745604 NY

Addresses

Primary practice location

3709 Flatlands Ave
Brooklyn, NY 11234-3507

Mailing address

3709 Flatlands Ave
Brooklyn, NY 11234-3507

Other practice location 1

1903 59th St
Brooklyn, NY 11204-2382
Phone (347) 687-4321

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616000091 NY Practitioner - Nurse Practitioner 8123492964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
745604NYMDRegistered Nurse
407728NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings County House Calls NP in Family Health PLLC Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Mordechai Izsak NP in Psychiatry PC Family PastSince Mar 1, 2023 Accepting new patients

Locations

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1255051587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343507",
            "telephone_number": "718-444-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 59th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112042382",
            "country_code": "US",
            "telephone_number": "347-687-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZSAK",
        "first_name": "MORDECHAI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351232",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407728",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "745604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.