NPIMap

Individual provider Active NPI

Jaisy Isaac, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1669809828
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012064 Issued in PA
Practice address
7924 Bustleton Ave
Philadelphia
Philadelphia, PA 19152-3321
Phone
(267) 226-3332
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP012064 PA Primary

Addresses

Primary practice location

7924 Bustleton Ave
Philadelphia
Philadelphia, PA 19152-3321

Mailing address

89 Steele Way
Huntingdon Valley, PA 19006-3115
Phone (267) 226-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002135 PA Practitioner - Nurse Practitioner 2264705870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3322 N Broad St
Philadelphia, PA 19140-5185
Phone (210) 707-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012064PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Nov 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Nov 1, 2023 Accepting new patients
Jefferson University Physicians CurrentSince Dec 10, 2018 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Public Health Management Corporation CurrentSince Jul 9, 2017 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Jul 9, 2017 Accepting new patients
Jefferson University Physicians PastSince Dec 10, 2018 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

3322 N Broad St
Philadelphia, PA 19140
Phone (215) 707-4000

833 Chestnut St
Frnt 3
Philadelphia, PA 19107
Phone (215) 955-5800

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

925 Chestnut St
Ste 420A
Philadelphia, PA 19107
Phone (215) 955-8516

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1669809828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 STEELE WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063115",
            "telephone_number": "267-226-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 BUSTLETON AVE",
            "address_2": "PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523321",
            "telephone_number": "267-226-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JAISY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.