Organization Active NPI

Ernest L Isaacson DPM PC

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1396948188
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005935 Issued in NY
Legal business name
ERNEST L ISAACSON DPM PC
Practice address
30 Park Ave
New York, NY 10016-3801
Phone
(212) 420-6002
Fax
(646) 405-0192
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Ernest Isaacson, DPMNPI 1679679963
Title
Owner
Phone
(212) 420-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005935 NY Primary

Addresses

Primary practice location

30 Park Ave
New York, NY 10016-3801

Mailing address

30 Park Ave
New York, NY 10016-3801
Phone (212) 420-6002

Other identifiers 1

IdentifierTypeStateIssuer
02478384MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080104000523 NY Part B Supplier - Clinic/Group Practice 9436239365 Receives reassigned benefits from 6 practitioners
Practice locations: Bronx, NY; East Setauket, NY; New York, NY
O20100723000280 NJ Part B Supplier - Clinic/Group Practice 9436239365 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ; Englewood Cliffs, NJ
O20100930061463 NY DME Supplier - Physician - PodiatryDME Supplier - Hospital 9436239365 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Ernest Isaacson DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Grand Ave
#3
Englewood, NJ 07631
Phone (201) 567-8090

1340 Metropolitan Ave
Bronx, NY 10462
Phone (718) 576-2633

30 E 40th St
Rm 401
New York, NY 10016
Phone (212) 420-6002

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1396948188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163801",
            "telephone_number": "212-420-6002",
            "fax_number": "646-405-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163801",
            "telephone_number": "212-420-6002",
            "fax_number": "646-405-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST L ISAACSON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-420-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02478384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.