Individual provider Active NPI

Jared Isaacson

  • Diagnostic Radiology Physician
  • New Bern, NC
National Provider Identifier
1902105489
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
83944 Issued in SC
Practice address
722 Newman Rd
New Bern, NC 28562-5238
Phone
(888) 592-8646
Fax
(252) 633-0084
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 078159 GA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 83944 SC Primary

Addresses

Primary practice location

722 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 200088
Dallas, TX 75320-0088
Phone (678) 553-7783

Other practice location 1

1000 Johnson Ferry Rd
Atlanta, GA 30342
Phone (404) 851-6323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200324000854 OH Practitioner - Diagnostic Radiology 7214207109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
078159GAMDDiagnostic Radiology Physician
83944SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 9, 2020 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2021 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Mar 16, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Nov 25, 2020 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Oct 16, 2021 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Mar 4, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 8, 2020 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 30, 2020 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince May 3, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Jan 7, 2022 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 2, 2021 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Northside Imaging LLC Diagnostic Radiology Past Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients

Locations (25 of 29)

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1936 University Ave
Ste 28
Berkeley, CA 94704

1936 University Ave
Ste 280
Berkeley, CA 94704
Phone (510) 204-0688

2549 Eastbluff Dr
Ste 414
Newport Beach, CA 92660
Phone (215) 628-4000

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

100 Galleria Pkwy SE
Ste 1450
Atlanta, GA 30339
Phone (770) 952-8899

1831 5th Ave
Ste B
Columbus, GA 31904

100 Frist Ct
Ste B
Columbus, GA 31909

710 Center St
Ste B
Columbus, GA 31901

1050 Valdosta Hwy
#A
Homerville, GA 31634

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5605 Glenridge Dr
Ste 325
Sandy Springs, GA 30342
Phone (678) 553-7783

75 Remittance Dr
Dept 1162
Chicago, IL 60675

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1902105489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200088",
            "telephone_number": "678-553-7783",
            "fax_number": "833-417-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "888-592-8646",
            "fax_number": "252-633-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "404-851-6323",
            "fax_number": "404-303-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "078159",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "83944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.