Organization Active NPI

Dr M David Isaak Dental Group

  • General Practice Dentistry
  • Jersey City, NJ
National Provider Identifier
1477678282
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI007704 Issued in NJ
Legal business name
DR M DAVID ISAAK DENTAL GROUP
Practice address
2778 John F Kennedy Blvd
Jersey City, NJ 07306-5508
Phone
(201) 659-7000
Fax
(201) 659-7003
NPI assigned
Mar 20, 2007
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. M David Isaak, DDS
Title
President
Phone
(201) 659-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI007704 NJ Primary

Addresses

Primary practice location

2778 John F Kennedy Blvd
Jersey City, NJ 07306-5508

Mailing address

2778 John F Kennedy Blvd
Jersey City, NJ 07306-5508
Phone (201) 659-7000

National Provider Directory

National Provider Directory

Locations

2778 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 659-7000

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1477678282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508",
            "telephone_number": "201-659-7000",
            "fax_number": "201-659-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508",
            "telephone_number": "201-659-7000",
            "fax_number": "201-659-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR M DAVID ISAAK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "ISAAK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-659-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.