NPIMap

Individual provider Active NPI

Isaac K Soliman, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1760876767
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10287600 Issued in NJ
Practice address
1 Bay Ave
Montclair, NJ 07042
Phone
(908) 591-6124
Fax
(973) 429-6575
NPI assigned
Mar 27, 2015
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA10287600 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Montclair, NJ 07042

Mailing address

1 Bay Ave
Montclair, NJ 07042-4837
Phone (908) 591-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20181031000418 NJ Practitioner - Internal Medicine 4183977671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
Montclair Hospital LLCGroup PAC ID 7810092814, 21 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

123 Highland Ave
Suite 201
Glen Ridge, NJ 07028-1522
Phone (862) 333-4700

905 Elizabeth Ave
Elizabeth, NJ 07201-2710
Phone (908) 352-2225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
94.62
Promoting interoperability
100
Improvement activities
40
Cost
70.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10287600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firstline Health LLC Internal Medicine CurrentSince Jul 13, 2022 Accepting new patients
Montclair Hospital LLC Internal Medicine CurrentSince Sep 8, 2018 Accepting new patients
Abyrehab Current Accepting new patients
Montclair Hospital LLC CurrentSince Sep 8, 2018 Accepting new patients
Montclair Hospital LLC Past Accepting new patients
Kindred Hospitals East, LLC Past Accepting new patients
Firstline Health LLC Internal Medicine Past Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC Past Accepting new patients

Locations

905 Elizabeth Ave
Elizabeth, NJ 07201
Phone (866) 975-4488

123 Highland Ave
Ste 201
Glen Ridge, NJ 07028
Phone (862) 333-4700

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

Interoperability endpoints

  • Direct secure messaging: isoliman188916@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1760876767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "908-591-6124",
            "fax_number": "973-429-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "908-591-6124",
            "fax_number": "973-429-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "ISAAC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10287600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.