Individual provider Active NPI

Anthony Oduje Isedeh Jr., MD

  • Hospitalist Physician
  • New Haven, CT
National Provider Identifier
1639445539
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
62045 Issued in CT
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1639445539MedicaidVA
1639445539OtherVANPI

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, DC14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20140722000768 VA Practitioner - Internal Medicine 2567688922 Reassigns benefits to 5 organizations
I20161128001366 NJ Practitioner - Internal Medicine 2567688922 Reassigns benefits to 7 organizations
I20181120001144 CT Practitioner - Hospitalist 2567688922 Reassigns benefits to 2 organizations
I20200410001586 PA Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200417000686 MI Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200501000557 IL Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200508001406 ME Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200612000997 OH Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200613000166 ID Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200717001627 AL Practitioner - Internal Medicine 2567688922
I20200717003237 TN Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200722004035 IN Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20200802000072 MO Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization
I20201118001106 DC Practitioner - Internal Medicine 2567688922 Reassigns benefits to 1 organization

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
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
In Post Acute Specialists PCGroup PAC ID 8325379522, 29 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Post Acute Specialists New Jersey PCGroup PAC ID 5294176483, 14 clinicians
Passaic Hospitalist Services, LLCGroup PAC ID 8426404484, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
Mi Post Acute Specialists PC CurrentSince Mar 1, 2020 Accepting new patients
Post Acute Specialists New Jersey, P.C. CurrentSince Apr 21, 2024 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Nov 26, 2018 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 1, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 8, 2023 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Nov 28, 2018 Accepting new patients
Harrisonburg Community Health Center CurrentSince Apr 18, 2015 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Jul 16, 2018 Accepting new patients
Harrisonburg Community Health Center Inc CurrentSince Apr 18, 2015 Accepting new patients
In Post Acute Specialists, PC CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Nov 28, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 8, 2023 Accepting new patients
Harrisonburg Community Health Center Current Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Nov 30, 2020 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

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

  • Direct secure messaging: aisedeh233510@directvirtua.org
  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.