Individual provider Active NPI

Elina Isaacson, MS,OTR/L

  • Occupational Therapist
  • Cedar Grove, NJ
National Provider Identifier
1417401589
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00436900 Issued in NJ
Practice address
1425 Pompton Ave Ste 1-3
Cedar Grove, NJ 07009-1043
Phone
(973) 785-9300
Fax
(973) 256-8735
NPI assigned
Aug 6, 2016
Last updated
Aug 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00436900 NJ Primary

Addresses

Primary practice location

1425 Pompton Ave Ste 1-3
Cedar Grove, NJ 07009-1043

Mailing address

1425 Pompton Ave Ste 1-3
Cedar Grove, NJ 07009-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00436900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Children's Therapy Past Accepting new patients

Organizations & group practices 1

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": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1417401589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE STE 1-3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE STE 1-3",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-9300",
            "fax_number": "973-256-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ELINA",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00436900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.