Isaias Ponpa

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

420 Pennsylvania Ave Ste 101
Glen Ellyn, IL 60137-4427

Phone

(630) 474-4353

NPI assigned

May 30, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Marvelous Minds, Inc

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  • NPI 1902319916
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1700779618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PIERCE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605052539",
            "telephone_number": "331-205-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PENNSYLVANIA AVE STE 101",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374427",
            "telephone_number": "630-474-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 N Highland Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605061460",
            "country_code": "US",
            "telephone_number": "630-504-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONPA",
        "first_name": "ISAIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Edith Pico
• Rebecca Pindel
• Michelle A Pipitone, MD
• Danielle Piser, O.D.
• Jennifer Lyn Polizzi
• Liliana K Popovic, LCPC
• Jessica Powell, CNS, LDN
• Kristen Powell, LCPC
• Anne Powers
• Kimberly Predmore

• Social Worker in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.