Individual provider Active NPI

Isaac Thomas Johnson

  • Social Worker
  • Suffern, NY
National Provider Identifier
1881521961
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127217 Issued in NY
Practice address
5 Pleasant Ave Apt 1
Suffern, NY 10901-4631
Phone
(785) 424-2448
NPI assigned
May 5, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2026202261 NY
Social Worker 104100000X 127217 NY Primary
Social Worker 104100000X 44SL07394300 NY
School Social Worker 1041S0200X 01906797 NJ

Addresses

Primary practice location

5 Pleasant Ave Apt 1
Suffern, NY 10901-4631

Mailing address

5 Pleasant Ave Apt 1
Suffern, NY 10901-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Scotch Rd
Ewing, NJ 08628-2503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127217NYMDSocial Worker
44SL07394300NYMDSocial Worker
01906797NJMDSchool Social Worker
2026202261NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1881521961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLEASANT AVE APT 1",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLEASANT AVE APT 1",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014631",
            "telephone_number": "785-424-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ISAAC",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "2026202261",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "127217",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "44SL07394300",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "01906797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.