Individual provider Active NPI

Natalya B Izakov, D.O.

  • Emergency Medicine Physician
  • Caldwell, NJ
National Provider Identifier
1861837965
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Practice address
105 Roseland Ave
Unit 1104
Caldwell, NJ 07006-5943
Phone
(973) 287-6485
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NJ Primary

Addresses

Primary practice location

105 Roseland Ave
Unit 1104
Caldwell, NJ 07006-5943

Mailing address

105 Roseland Ave
Unit 1104
Caldwell, NJ 07006-5943
Phone (973) 287-6485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014002956 NJ Practitioner - Emergency Medicine 3678882644 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Montclair LLC Emergency Medicine CurrentSince Jun 21, 2016 Accepting new patients
Montclair Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

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

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: nizakov188919@ahs.direct-ci.com

Organizations & group practices 2

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861837965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROSELAND AVE",
            "address_2": "UNIT 1104",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065943",
            "telephone_number": "973-287-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROSELAND AVE",
            "address_2": "UNIT 1104",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065943",
            "telephone_number": "973-287-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAKOV",
        "first_name": "NATALYA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.