Individual provider Active NPI

Isaac Madeb, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1467452086
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
122260 Issued in NY
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IM07241610OtherNYBLUE CROSS & BLUE SHIELD
00399913MedicaidNY
KS188OtherNYOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000919 NY Practitioner - UrologyPractitioner - Internal Medicine 9335126515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isaac Madeb MD PCGroup PAC ID 5395899611, 2 clinicians

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 100Reported as individual
Quality
34.3
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jan 1, 2015 Accepting new patients
2241 Medical Testing Corp Urology CurrentSince Nov 1, 2024 Accepting new patients
Isaac Madeb MD PC Specialist CurrentSince Jul 25, 2001 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 PastSince Mar 31, 1998 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Long Island Care Center IncFlushing, NY, CCN 335294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (13.5%) Jan 1, 2010
Glen Cove Center for Nursing & RehabGlen Cove, NY, CCN 335716 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.