Jose Isidro, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA04749000 Issued in NJ

Practice address

2 Lincoln Hwy
# 109
Edison, NJ 08820-3961

Phone

(732) 318-6869

Fax

(732) 494-9112

NPI assigned

Feb 25, 2006

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.isidro@direct.hobokenumc.md

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.

• Humc Opco LLC

  dba Hoboken University Hospital

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668

  Interventional Pain Medicine

  NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  NPD (past)
• Greenville Hospital

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1447292727
  NPD (past)
• Hudson Anesthesiology Services, LLC

  • Anesthesiology Physician
  • Hoboken, NJ
  • NPI 1316978414
  NPD (past)
• Shengping Zou, MD, LLC

  • Interventional Pain Medicine Physician
  • Edison, NJ
  • NPI 1386889111
  NPD (past)

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1558337972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NEW BROOKLYN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172254",
            "telephone_number": "732-318-6869",
            "fax_number": "732-494-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY",
            "address_2": "# 109",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-318-6869",
            "fax_number": "732-494-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDRO",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-25",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04749000",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA04749000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4536908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Interventional Pain Management and Ortho-Spine Medical Center LLC
• Nichole C Inya-Agha, LCSW
• Urooj Iqbal
• Isaacs Pharmacy (Faithful pharmacy)
• Isaacs Pharmacy (Faithful pharmacy ltc)
• Sylvanna Islas
• Ismile Dental Care of Edison
• Milad Soliman Issa, DDS
• Jonathan Isserow
• Alexander Itskovich, M.D.

• Anesthesiology Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.