Individual provider Active NPI

Izik Yitzhaki, M.D.

  • Anesthesiology Physician
  • Totowa, NJ
National Provider Identifier
1902809957
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06913300 Issued in NJ
Practice address
525 Union Blvd
Totowa, NJ 07512-2442
Phone
(973) 928-5360
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 69133 NJ
Anesthesiology Physician 207L00000X 25MA06913300 NJ Primary

Addresses

Primary practice location

525 Union Blvd
Totowa, NJ 07512-2442

Mailing address

PO Box 343
Midland Park, NJ 07432-0343
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
8462503MedicaidNJ

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 69133NJMDSpecialist
25MA06913300NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Alliance LLC CurrentSince Apr 15, 2014 Accepting new patients
Vivian K. Bethala, MD PA Specialist CurrentSince Dec 22, 2013 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Specialist CurrentSince Feb 25, 2012 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Northern Valley Anesthesiology, P.a. Anesthesiology Past Accepting new patients
Morris Avenue Endoscopy LLC Anesthesiology Past Accepting new patients
Morris Avenue Endoscopy LLC Past Accepting new patients
County Wide Anesthesia Group, LLC Specialist Past Accepting new patients
New Jersey Pain Consultants PC Specialist Past Accepting new patients
Wayne Surgical Center LLC Past Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821

15-01 Broadway
Ste 34
Fair Lawn, NJ 07410
Phone (201) 794-6808

52 1st St
Hackensack, NJ 07601
Phone (201) 488-3003

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

214 Terrace Ave
Hasbrouck Heights, NJ 07604
Phone (201) 288-6330

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

130 Kinderkamack Rd
Ste 301
River Edge, NJ 07661
Phone (201) 489-7772

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

1176 Hamburg Tpke
Ste 1
Wayne, NJ 07470
Phone (873) 790-7700

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 10

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1902809957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074320343",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "973-928-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YITZHAKI",
        "first_name": "IZIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 69133",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06913300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8462503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.