NPIMap

Organization Active NPI

Daniel H. Isaac, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Cherry Hill, NJ
National Provider Identifier
1639368038
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
NJ27OA00437300 Issued in NJ
Legal business name
DANIEL H. ISAAC, O.D., P.A.
Practice address
1032 Cherry Hill Mall
RT. 38 and Haddonfield Rd.
Cherry Hill, NJ 08002
Phone
(856) 665-4111
Fax
(856) 665-0843
NPI assigned
Oct 22, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Daniel H Isaac, O.D.NPI 1508983354
Title
President
Phone
(856) 665-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X NJ27OA00437300 NJ Primary

Addresses

Primary practice location

1032 Cherry Hill Mall
RT. 38 and Haddonfield Rd.
Cherry Hill, NJ 08002

Mailing address

1032 Cherry Hill Mall
RT. 38 and Haddonfield Rd.
Cherry Hill, NJ 08002
Phone (856) 665-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000118 NJ Part B Supplier - Clinic/Group Practice 8325179781 Receives reassigned benefits from 10 practitioners
Practice locations: Cherry Hill, NJ; Marlton, NJ; Deptford, NJ

National Provider Directory

National Provider Directory

Locations

2000 Route 38
Ste 1146
Cherry Hill, NJ 08002

38 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (856) 547-4422

38 Haddonfield Rd
#2032
Cherry Hill, NJ 08002

500 Route 73 S
Ste A
Marlton, NJ 08053

500 Route 73 S
Ste A12B
Marlton, NJ 08053

800 Route 73 S
Ste A12B
Marlton, NJ 08053

400 W Route 38
Unit 1285
Moorestown, NJ 08057

1750 Deptford Center Rd
Spc 2E5B
Woodbury, NJ 08096

Practitioners & affiliated clinicians

Practitioners 12

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1639368038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 CHERRY HILL MALL",
            "address_2": "RT. 38 AND HADDONFIELD RD.",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "856-665-4111",
            "fax_number": "856-665-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 CHERRY HILL MALL",
            "address_2": "RT. 38 AND HADDONFIELD RD.",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "856-665-4111",
            "fax_number": "856-665-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H. ISAAC, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-665-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "NJ27OA00437300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.