Individual provider Active NPI

David L Isralowitz, MD

  • Internal Medicine Physician
  • Rutherford, NJ
National Provider Identifier
1417929092
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA32479 Issued in NJ
Practice address
128 Union Ave
Rutherford, NJ 07070-1565
Phone
(201) 939-8834
Fax
(201) 939-7644
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA32479 NJ Primary

Addresses

Primary practice location

128 Union Ave
Rutherford, NJ 07070-1565

Mailing address

128 Union Ave
Rutherford, NJ 07070-1565
Phone (201) 939-8834

Other identifiers 1

IdentifierTypeStateIssuer
4746503MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA32479NJMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: david.isralowitz.1@24719.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1417929092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701565",
            "telephone_number": "201-939-8834",
            "fax_number": "201-939-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701565",
            "telephone_number": "201-939-8834",
            "fax_number": "201-939-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRALOWITZ",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA32479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4746503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.