NPIMap

Organization Active NPI

Iz Medical LLC

  • Family Medicine Physician
  • Moonachie, NJ
National Provider Identifier
1790308583
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IZ MEDICAL LLC
Practice address
250 Moonachie Rd
Moonachie, NJ 07074-1378
Phone
(201) 596-6262
Fax
(201) 596-6299
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Iyad Baker, MD
Title
Ceo
Phone
(862) 202-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

250 Moonachie Rd
Moonachie, NJ 07074-1378

Mailing address

250 Moonachie Rd
Moonachie, NJ 07074-1378
Phone (201) 596-6262

Other identifiers 1

IdentifierTypeStateIssuer
25MA09011900OtherNJLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address izmedical@direct.digidms.com Direct

National Provider Directory

National Provider Directory

Locations

250 Moonachie Rd
Ste 100
Moonachie, NJ 07074
Phone (201) 596-6262

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1790308583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MOONACHIE RD",
            "city": "MOONACHIE",
            "state": "NJ",
            "postal_code": "070741378",
            "telephone_number": "201-596-6262",
            "fax_number": "201-596-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MOONACHIE RD",
            "city": "MOONACHIE",
            "state": "NJ",
            "postal_code": "070741378",
            "telephone_number": "201-596-6262",
            "fax_number": "201-596-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-202-3087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA09011900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "izmedical@direct.digidms.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "250 Moonachie Rd",
            "city": "Moonachie",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070741378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moonachie, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.