Individual provider Active NPI

Daniel O. Izon, M.D.

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1508889114
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
166608-1 Issued in NY
Practice address
1384 Broadway
New York, NY 10018-6108
Phone
(212) 246-4237
Fax
(212) 813-3456
NPI assigned
Jul 25, 2006
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 166608-1 NY Primary

Addresses

Primary practice location

1384 Broadway
New York, NY 10018-6108

Mailing address

PO Box 11649
Newark, NJ 07101-4649
Phone (212) 246-4237

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
I20110819000130 NY Practitioner - Radiation Oncology 6204864333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilbert Lederman MD PCGroup PAC ID 2365333861, 3 clinicians

Practice addresses (Care Compare)

1384 Broadway
New York, NY 10018-6108
Phone (212) 246-4237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166608-1NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Lederman MD PC Radiation Oncology CurrentSince Jul 15, 2011 Accepting new patients
Warwick Street Medical PC PastSince Jul 15, 2011 Accepting new patients

Locations

1384 Broadway
New York, NY 10018
Phone (212) 246-4237

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1508889114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11649",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014649",
            "telephone_number": "212-246-4237",
            "fax_number": "212-813-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186108",
            "telephone_number": "212-246-4237",
            "fax_number": "212-813-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZON",
        "first_name": "DANIEL",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "166608-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.