NPIMap

Individual provider Active NPI

Jay J Isaac, MD

  • Internal Medicine Physician
  • Gloucester, MA
National Provider Identifier
1730134099
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160031 Issued in MA
Practice address
1 Blackburn Dr
Gloucester, MA 01930-2237
Phone
(978) 281-1500
Fax
(978) 282-3699
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160031 MA Primary

Addresses

Primary practice location

1 Blackburn Dr
Gloucester, MA 01930-2237

Mailing address

1 Blackburn Dr
Gloucester, MA 01930-2237
Phone (978) 282-3698

Other identifiers 1

IdentifierTypeStateIssuer
3195601MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091007000014 MA Practitioner - Internal Medicine 5294748075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 282-3698

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as individual
Quality
99.09
Promoting interoperability
100
Improvement activities
40
Cost
81.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manor Hill Medical Associates LLC Internal Medicine CurrentSince Oct 12, 2014 Accepting new patients

Locations

420 E Main St
Ste 2
Branford, CT 06405
Phone (203) 208-3275

15 Lexington Ave
Ste 1
Gloucester, MA 01930
Phone (978) 282-3698

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

Interoperability endpoints

  • Direct secure messaging: jay.isaac.1@21614.direct.athenahealth.com
  • Direct secure messaging: jay.isaac.2@23361.direct.athenahealth.com

Organizations & group practices 1

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 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1730134099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-282-3698",
            "fax_number": "978-282-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JAY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "160031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3195601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.