Individual provider Active NPI

Noyemi Isnar, M.D.

  • Family Medicine Physician
  • Haworth, NJ
National Provider Identifier
1780758607
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA 49934 Issued in NJ
Practice address
296 Garfield St
Haworth, NJ 07641-1422
Phone
(201) 384-3733
Fax
(201) 384-8251
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA 49934 NJ Primary

Addresses

Primary practice location

296 Garfield St
Haworth, NJ 07641-1422

Mailing address

296 Garfield St
Haworth, NJ 07641-1422
Phone (201) 384-3733

Other identifiers 1

IdentifierTypeStateIssuer
0499102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 49934NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1780758607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GARFIELD ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411422",
            "telephone_number": "201-384-3733",
            "fax_number": "201-384-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 GARFIELD ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411422",
            "telephone_number": "201-384-3733",
            "fax_number": "201-384-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISNAR",
        "first_name": "NOYEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA 49934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.