Individual provider Active NPI

Isaac J Halickman, MD

  • Cardiovascular Disease Physician
  • Voorhees, NJ
National Provider Identifier
1437323250
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA08014700 Issued in NJ
Practice address
900 Centennial Blvd
Suite H
Voorhees, NJ 08043-4689
Phone
(856) 325-6700
Fax
(856) 325-6702
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 101212 FL
Cardiovascular Disease Physician 207RC0000X MA08014700 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd
Suite H
Voorhees, NJ 08043-4689

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 342-2921

Other identifiers 1

IdentifierTypeStateIssuer
MA08014700OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080826000087 NJ Practitioner - Cardiovascular Disease (Cardiology) 7517032519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192

1210 Brace Rd
Cherry Hill, NJ 08034-3213

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

2339 Route 70 W
FL 3
Cherry Hill, NJ 08002-3315
Phone (856) 795-3597

3 Cooper PLZ
Camden, NJ 08103-1438

66 E Ave
Woodstown, NJ 08098-1417
Phone (856) 935-6700

900 Centennial Blvd
Voorhees, NJ 08043-4637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 101212FLMDCardiovascular Disease Physician
MA08014700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Jul 22, 2008 Accepting new patients

Locations

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

66 East Ave
Woodstown, NJ 08098
Phone (856) 935-6700

Interoperability endpoints

  • Direct secure messaging: ihalickman2186@direct.cooperhealth.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1437323250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2921",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "SUITE H",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434689",
            "telephone_number": "856-325-6700",
            "fax_number": "856-325-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALICKMAN",
        "first_name": "ISAAC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 101212",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA08014700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA08014700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.