Individual provider Active NPI

Isaac Namdar, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1326132986
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A201725-1 Issued in NY
Practice address
425 W 59TH St
10TH Floor
New York, NY 10019-1104
Phone
(212) 262-4444
Fax
(212) 523-8165
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A201725-1 NY Primary

Addresses

Primary practice location

425 W 59TH St
10TH Floor
New York, NY 10019-1104

Mailing address

PO Box 20988
Columbus Circle Station
New York, NY 10023-1490
Phone (212) 262-4444

Other identifiers 1

IdentifierTypeStateIssuer
02078935MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080712000083 NY Practitioner - Otolaryngology 3375615032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

425 W 59TH St
New York, NY 10019-8022
Phone (212) 492-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A201725-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2018 Accepting new patients
Head & Neck Surgical Group, LLC Specialist CurrentSince Jan 1, 2008 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St. Vincent's Midtown Hospital Past Accepting new patients

Locations

425 W 59th St
Fl 10
New York, NY 10019
Phone (212) 262-4444

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1326132986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20988",
            "address_2": "COLUMBUS CIRCLE STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231490",
            "telephone_number": "212-262-4444",
            "fax_number": "212-523-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191104",
            "telephone_number": "212-262-4444",
            "fax_number": "212-523-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDAR",
        "first_name": "ISAAC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "A201725-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.