Active NPI
Anthony Oduje Isedeh Jr., MD
- Hospitalist Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 62045
- Practice address
- 20 York Street, CB-2041
New Haven, CT 06514-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Mar 26, 2012
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25MA09458100 | NJ | |
| Hospitalist Physician | 208M00000X | 62045 | CT | Primary |
Addresses
Primary practice location
20 York Street, CB-2041
New Haven, CT 06514-3220
Mailing address
201 Lyons Ave
Newark, NJ 07011
Phone (973) 926-7000
Other practice location 1
224 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 754-3357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639445539 | Medicaid | VA | |
| 1639445539 | Other | VA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NJ, CT, PA, MI, IL, ME, OH, ID, AL, TN, IN, MO, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 9TH St
McKeesport, PA 15132-3952
Phone (412) 675-8600
141 N McLean Blvd
Memphis, TN 38104-2693
Phone (901) 276-2021
1851 Harrogate Dr
Salem, VA 24153-2358
Phone (540) 444-0343
1925 Reeves Rd
Plainfield, IN 46168-5501
Phone (317) 838-7070
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
2741 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 344-6121
2751 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 468-8410
3001 E Evesham Rd
Voorhees, NJ 08043-9547
Phone (732) 481-8300
3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone (757) 496-1100
326 Country Club Dr
New Albany, IN 47150-4618
Phone (812) 948-1311
36855 Ridge Rd
Willoughby, OH 44094-4128
Phone (440) 942-4342
3701 Hodgin Rd
Richmond, IN 47374-7443
Phone (765) 939-3701
485 River Ave
Lakewood, NJ 08701-4720
Phone (732) 364-7100
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
900 3Rd Ave
Beaver Falls, PA 15010-4613
Phone (724) 846-8504
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations (25 of 30)
20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
9980 Georgia St
Crown Point, IN 46307
326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131
4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221
10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200
55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441
480 Parkway Dr E
East Orange, NJ 07017
Phone (973) 674-2700
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
485 River Ave
Lakewood, NJ 08701
Phone (732) 364-7100
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
3001 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 751-1600
Interoperability endpoints
- aisedeh233510@directvirtua.org
- aisedeh45960@epicdirect.rwjbh.org
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- Saint John, IN
- NPI 1629584396
-
- Hospitalist Physician
- Paterson, NJ
- NPI 1144903733
-
- Internal Medicine Physician
- Phillipsburg, NJ
- NPI 1013769868
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
CT, DC, ID, ME, MO, NJ, OH, PA, TN, VA
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Federally Qualified Health Center (FQHC)
- Harrisonburg, VA
- NPI 1871775882
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1699311324
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1013425479
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mozaic Senior Life
- Skilled Nursing Facility
- Bridgeport, CT
- NPI 1083602346
Nursing home
-
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1346616422
Nursing home
-
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1417954140
Nursing home
-
dba Richfield Health Center - Salem
- Skilled Nursing Facility
- Salem, VA
- NPI 1932981230
Nursing home
-
dba Newark Beth Israel Medical Center
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639445539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07011",
"telephone_number": "973-926-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065143220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [
{
"address_1": "224 Hamburg Tpke",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "07470",
"country_code": "US",
"telephone_number": "973-754-3357",
"fax_number": "973-389-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISEDEH",
"first_name": "ANTHONY",
"middle_name": "ODUJE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09458100",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "62045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639445539",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1639445539",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.