Individual provider Active NPI

Arielle Isaacson

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1508410572
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
801 Albany St
Boston, MA 02119-2560
Phone
(617) 414-5946
NPI assigned
Jul 29, 2019
Reactivated
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

801 Albany St
Boston, MA 02119-2560

Mailing address

801 Albany St
Boston, MA 02119-2560

Other practice location 1

48 Solomon Pierce Rd
Lexington, MA 02420-2534
Phone (781) 315-2729

Other practice location 2

48 Solomon Pierce Rd
Lexington, MA 02420-2534
Phone (781) 315-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240718001845 MA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163968801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aisaacson244079@direct.bmc.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1508410572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192560",
            "telephone_number": "617-414-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Solomon Pierce Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024202534",
            "country_code": "US",
            "telephone_number": "781-315-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Solomon Pierce Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024202534",
            "country_code": "US",
            "telephone_number": "781-315-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ARIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "deactivation_date": "2024-03-18",
        "reactivation_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.