Isao Iwata, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Plainsboro, NJ
NPI 1295921773 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1295921773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 25MA09972900 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111000108 | NJ | Practitioner - Geriatric Medicine |
0547419749 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, P.C. | Current |
Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current |
Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Geriatric Medicine | Current | Accepting new patients |
| Rutgers Health-RWJ Primary Medicine Group | Geriatric Medicine | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Princeton Healthcare Provider Group LLC | Current |
Accepting new patients | |
| Princeton Healthcare Provider Group LLC | Geriatric Medicine | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Geriatric Medicine | Current |
Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current |
Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current |
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
360 Essex St
Ste 401
Hackensack, NJ 07601
Phone (551) 996-1140
360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648
350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779
125 Paterson St
#5200A
New Brunswick, NJ 08901
Phone (732) 235-7217
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
#2300
New Brunswick, NJ 08901
5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536
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
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA09972900 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA09972900 | Other | NJ | NJ LICENSE |
Other providers in Plainsboro, NJ
- Innovative Life of New Jersey
- Innovative Psychiatry LLC
- Christine Ann Isaac
- Joel Isais
- Brandon Israel
- Chinwe Mercy Izegbu
- J M Podiatry Associates PC
- Jean H. Kang, DDS,LLC
- Jersey Physical Therapy of Princeton-Plainsboro
- Osman Jilani
All providers in Plainsboro, NJ · Geriatric Medicine (Internal Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.