Jennifer Isaacson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

085430-1 Issued in NY

Practice address

3020 Bailey Ave
2ND Floor
Buffalo, NY 14215-2814

Phone

(716) 831-1800

Fax

(716) 831-1818

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware CountyGroup PAC ID 1254327380, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Delaware County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walton, NY
  • NPI 1740375385
  Medicare reassignment Care Compare group NPD
• Delaware County

  • Public Health or Welfare Agency
  • Delhi, NY
  • NPI 1154689495
  NPD
• Horizon Healthservices

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1992995161
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1376817502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "address_2": "2ND FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-1800",
            "fax_number": "716-831-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "address_2": "2ND FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-1800",
            "fax_number": "716-831-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085430-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Irving, PA-C
• Cassandra Irwin
• Dema Isa
• Kiara Aryl Isaac-Soto
• Jessica Isaac, PHARM.D.
• Mina Ishak, M.D.
• Saniya Ishtiaq, M.D.
• Ian L Isidore, PHARMD
• Joseph Iskander
• Abul Islam, MD

• Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.