Active NPI
Isaac Madeb, MD
- Urology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 122260
- Practice address
- 2241 Ocean Ave
Brooklyn, NY 11229-2303 - Phone
- (718) 375-3746
- Fax
- (718) 336-3841
- NPI assigned
- Jul 26, 2005
- Last updated
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 122260 | NY | |
| Specialist | 174400000X | 122260 | NY | |
| Urology Physician | 208800000X | 122260 | NY | Primary |
Addresses
Primary practice location
2241 Ocean Ave
Brooklyn, NY 11229-2303
Mailing address
2241 Ocean Ave
Brooklyn, NY 11229-2303
Phone (718) 375-3746
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IM07241610 | Other | NY | BLUE CROSS & BLUE SHIELD |
| 00399913 | Medicaid | NY | |
| KS188 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102
2241 Ocean Ave
Brooklyn, NY 11229-2303
Phone (718) 375-3746
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.15 of 100
- Quality
- 34.3
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| 2241 Medical Testing Corp | Urology | Current | Accepting new patients |
| Isaac Madeb MD PC | Specialist | Current | Accepting new patients |
| Park House Care Center LLC | Past | Accepting new patients | |
| Ahava Medical and Rehabilitation Center LLC | Past | Accepting new patients | |
| Caton Park Rehabilitation and Nursing | Past | Accepting new patients | |
| LMC Physician Services, PC | Urology | Past | Accepting new patients |
| Montclair Care Center Inc | Past | Accepting new patients | |
| Rockaway Care Center LLC | Past | Accepting new patients |
Locations
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2241 Ocean Ave
Brooklyn, NY 11229
Phone (718) 375-3746
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
2555 Nostrand Ave
#1
Brooklyn, NY 11210
353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000
25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332
100 W 33rd St
New York, NY 10001
140 Beach 113th St
Rockaway Park, NY 11694
Phone (516) 295-5280
905 Uniondale Ave
Uniondale, NY 11553
Phone (516) 485-4630
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- isaacmadeb@mai.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Long Island Care Center Inc | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (13.5%) | Jan 1, 2010 |
| Glen Cove Center for Nursing & Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (8.41%) | Jan 1, 2000 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Glen Cove Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Glen Cove, NY
- NPI 1366438418
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1780661785
5% Or Greater Direct Ownership Interest
Organizations & group practices 11
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.
-
- Urology Physician
- Brooklyn, NY
- NPI 1497566897
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Specialist
- Brooklyn, NY
- NPI 1538322615
-
- Specialist
- Brooklyn, NY
- NPI 1023442035
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1215339577
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1336486745
-
dba Emerge Nursing and Rehabilitation at Glen Cove
- Pediatric Skilled Nursing Facility
- Glen Cove, NY
- NPI 1639234149
-
- Skilled Nursing Facility
- Rockaway Beach, NY
- NPI 1154584886
-
- Skilled Nursing Facility
- Far Rockaway, NY
- NPI 1720249493
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1467452086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292303",
"telephone_number": "718-375-3746",
"fax_number": "718-336-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292303",
"telephone_number": "718-375-3746",
"fax_number": "718-336-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEB",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "122260",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "122260",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "122260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "IM07241610",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00399913",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KS188",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.