Individual provider Active NPI

Isao Iwata, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Plainsboro, NJ
National Provider Identifier
1295921773
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA09972900 Issued in NJ
Practice address
5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915
Phone
(609) 853-7272
Fax
(609) 853-7271
NPI assigned
Sep 19, 2007
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA09972900 NJ Primary

Addresses

Primary practice location

5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915

Mailing address

5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915
Phone (609) 853-7272

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
I20170111000108 NJ Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Hospitalist 0547419749 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Dec 21, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 11, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Geriatric Medicine CurrentSince Jan 11, 2020 Accepting new patients
Princeton Healthcare Provider Group LLC Geriatric Medicine CurrentSince Dec 1, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Geriatric Medicine Current Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Dec 1, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Dec 21, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 1, 2023 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Geriatric Medicine CurrentSince Jan 3, 2017 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

360 Essex St
Ste 401
Hackensack, NJ 07601
Phone (551) 996-1140

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
#2300
New Brunswick, NJ 08901

125 Paterson St
#5200A
New Brunswick, NJ 08901
Phone (732) 235-7217

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536
Phone (215) 829-6700

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1295921773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD STE 300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-853-7272",
            "fax_number": "609-852-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD STE 300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-853-7272",
            "fax_number": "609-853-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWATA",
        "first_name": "ISAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA09972900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.