Mahros K Isaac, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023107 Issued in NY

Practice address

537 Banta St
Ridgewood, NJ 07450-1918

Phone

(201) 803-7008

Fax

(201) 786-9222

NPI assigned

May 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Progressive Rehab and Home Care PT & OT, PLLC

  • Occupational Therapist
  • Long Island City, NY
  • NPI 1093084634

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Ada Clinical Management Services Inc

  • Chiropractor
  • Jackson HTS, NY
  • NPI 1730368978
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1568780104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 BANTA ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501918",
            "telephone_number": "201-803-7008",
            "fax_number": "201-786-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 BANTA ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501918",
            "telephone_number": "201-803-7008",
            "fax_number": "201-786-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "MAHROS",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Medical Partners
• Katherine S Inoyama, MD
• Integra Medical Group LLC
• Integrative Acupuncture Limited Liability Company
• Mohammed Waqas Iqbal, DDS
• Roni Isaacson, LCSW
• Reem Jaber-Iqbal, DO
• Betsy Jacob
• Samuel Sunny Jacob, D.O.
• Warren Craig Jacoby, D.C

• Physical Therapist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.