Individual provider Active NPI

Ernest Louis Isaacson, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1679679963
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005935 Issued in NY
Practice address
30 Park Ave
New York, NY 10016-3801
Phone
(212) 420-6002
Fax
(646) 405-0192
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005935 NY Primary

Addresses

Primary practice location

30 Park Ave
New York, NY 10016-3801

Mailing address

30 Park Ave Ste 401
New York, NY 10016-3801
Phone (212) 420-6002

Other identifiers 1

IdentifierTypeStateIssuer
02478384MedicaidNY

Other names 1

  • Dr. Ernest Louis Isaacson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040311000621 NY Practitioner - Podiatry 8022907880 Reassigns benefits to 1 organization
I20100723000317 NJ Practitioner - Podiatry 8022907880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ernest L Isaacson DPM PCGroup PAC ID 9436239365, 5 clinicians

Practice addresses (Care Compare)

30 Park Ave
New York, NY 10016-3801
Phone (212) 420-6002

630 E Palisade Ave
Englewood Cliffs, NJ 07632-1842
Phone (201) 834-1140

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
63.33 of 100Reported as group
Quality
26.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue33
Removal of skin lesions23
Removal of nail tissue1161
Removal or shaving of skin growth540
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005935NYMDMental Health Counselor
N005935NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest L Isaacson DPM PC Current Accepting new patients
Ernest L Isaacson DPM PC Podiatrist CurrentSince May 24, 2007 Accepting new patients
Ernest Isaacson DPM PLLC Podiatrist Past Accepting new patients
East 40TH Podiatry, PC Podiatrist Past Accepting new patients

Locations

630 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 503-0302

1340 Metropolitan Ave
Bronx, NY 10462
Phone (718) 576-2633

4 Technology Dr
Ste 110
East Setauket, NY 11733
Phone (212) 420-6002

30 E 40th St
Rm 401
New York, NY 10016
Phone (212) 420-6002

166 5th Ave
Fl 2
New York, NY 10010
Phone (212) 229-0333

30 Park Ave
New York, NY 10016
Phone (212) 420-6002

30 Park Ave
Ste 401
New York, NY 10016

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1679679963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK AVE STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163801",
            "telephone_number": "212-420-6002",
            "fax_number": "646-405-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163801",
            "telephone_number": "212-420-6002",
            "fax_number": "646-405-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ERNEST",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02478384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "ISAACSON",
            "middle_name": "LOUIS",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.