NPIMap

Organization Active NPI

Roman Isaac MD PLLC

  • Orthopaedic Surgery Physician
  • Hoboken, NJ
National Provider Identifier
1467819540
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
275010 Issued in NY
Legal business name
ROMAN ISAAC MD PLLC
Practice address
1320 Adams St Ste D-E
Hoboken, NJ 07030-2370
Phone
(201) 308-6622
Fax
(201) 308-6623
NPI assigned
Jan 20, 2016
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dr. Roman Isaac, MDNPI 1881913622
Title
Ceo
Phone
(201) 308-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 275010 NY Primary

Addresses

Primary practice location

1320 Adams St Ste D-E
Hoboken, NJ 07030-2370

Mailing address

1320 Adams St Ste D-E
Hoboken, NJ 07030-2370
Phone (201) 308-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160307002213 NJ Part B Supplier - Clinic/Group Practice 8729384466 Receives reassigned benefits from 1 practitioner
Practice locations: Hoboken, NJ; Morristown, NJ; Newark, NJ; Union, NJ; Edgewater, NJ
O20160414000014 NY Part B Supplier - Clinic/Group Practice 8729384466 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

725 River Rd
Ste 27
Edgewater, NJ 07020
Phone (201) 500-9877

1320 Adams St
Unit De
Hoboken, NJ 07030

143 W 29th St
Ste 501
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1467819540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ADAMS ST STE D-E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302370",
            "telephone_number": "201-308-6622",
            "fax_number": "201-308-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ADAMS ST STE D-E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302370",
            "telephone_number": "201-308-6622",
            "fax_number": "201-308-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN ISAAC MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-308-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "275010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.