Individual provider Active NPI

Jonathan Isserow

  • Diagnostic Radiology Physician
  • Edison, NJ
National Provider Identifier
1255337127
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07005300 Issued in NJ
Practice address
3900 Park Ave
Ste 107
Edison, NJ 08820-3032
Phone
(732) 548-6800
Fax
(732) 548-6290
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07005300 NJ Primary

Addresses

Primary practice location

3900 Park Ave
Ste 107
Edison, NJ 08820-3032

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Other identifiers 5

IdentifierTypeStateIssuer
3001294444OtherNJRAILROAD MEDICARE - EDISON
3001294444OtherNJRAILROAD MEDICARE - WARREN
8506302MedicaidNJ
300129444OtherNJRAILROAD MEDICARE - BRIDGEWATER
3001294444OtherNJRAILROAD MEDICARE - SMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000176 NJ Practitioner - Diagnostic Radiology 6901837699 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

Practice addresses (Care Compare)

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07005300NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Oct 15, 2015 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Oct 15, 2015 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince May 1, 2017 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Oct 15, 2015 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Oct 15, 2015 Accepting new patients
Atlanta Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Organizations & group practices 7

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 1

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1255337127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PARK AVE",
            "address_2": "STE 107",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203032",
            "telephone_number": "732-548-6800",
            "fax_number": "732-548-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSEROW",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07005300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - EDISON",
            "identifier": "3001294444",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - WARREN",
            "identifier": "3001294444",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8506302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - BRIDGEWATER",
            "identifier": "300129444",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - SMC",
            "identifier": "3001294444",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.