Neil L. Isdaner, MD. PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD017922E Issued in PA

Legal business name

NEIL L. ISDANER, MD. PC

Practice address

7602 Central Ave
Stapley BLDG St 103
Philla, PA 19111-2443

Phone

(215) 745-7411

Fax

(215) 745-7488

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neil Lewis Isdaner, MDNPI 1093783409

Title

President

Phone

(215) 745-7411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neil L Isdaner, M.D.

  • Specialist
  • Philadelphia, PA
  • NPI 1093783409
  NPD (past) Authorized official

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1295097616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STAPLEY BLDG ST 103",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-745-7411",
            "fax_number": "215-745-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STAPLEY BLDG ST 103",
            "city": "PHILLA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-745-7411",
            "fax_number": "215-745-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL L. ISDANER, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ISDANER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-745-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD017922E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.