Individual provider Active NPI

Assabi A Isaac, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethlehem, PA
National Provider Identifier
1831471028
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS039353 Issued in PA
Practice address
1521 8TH Ave
Bethlehem, PA 18018-1893
Phone
(610) 865-8077
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS039353 PA Primary

Addresses

Primary practice location

1521 8TH Ave
Bethlehem, PA 18018-1893

Mailing address

1521 8TH Avenue
Suite 101
Bethlehem, PA 18018
Phone (610) 865-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905001468 PA Practitioner - Oral Surgery 6800100405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 15, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 15, 2017 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients

Locations

1530 8th Ave
Ste 200
Bethlehem, PA 18018
Phone (610) 861-8007

1521 8th Ave
Fl 1
Bethlehem, PA 18018

1521 8th Ave
Ste 101
Bethlehem, PA 18018

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1831471028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 8TH AVENUE",
            "address_2": "SUITE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18018",
            "telephone_number": "610-865-8077",
            "fax_number": "610-865-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "610-865-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "ASSABI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.