Individual provider Active NPI

Brandon Iskandar

  • Occupational Therapist
  • Somerset, NJ
National Provider Identifier
1912707191
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01224700 Issued in NJ
Practice address
900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Phone
(732) 846-9400
Fax
(732) 846-9404
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01224700 NJ Primary

Addresses

Primary practice location

900 Easton Ave Ste 22
Somerset, NJ 08873-1760

Mailing address

900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Phone (732) 846-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000644 NJ Practitioner - Occupational Therapist in Private Practice 7315460938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brielle Integrated Healthcare LLCGroup PAC ID 5395003602, 6 clinicians
Re-Active Physical Therapy LLCGroup PAC ID 2860814019, 6 clinicians

Practice addresses (Care Compare)

629 Higgins Ave
Suite 2
Brielle, NJ 08730-1480
Phone (732) 872-6595

900 Easton Ave
Suite 22
Somerset, NJ 08873-1760
Phone (732) 846-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Re-Active Physical Therapy LLC CurrentSince Mar 17, 2025 Accepting new patients
Mobile Therapy Services, Inc. Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Brielle Integrated Healthcare LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

2373 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

629 Higgins Ave
Ste 2
Brielle, NJ 08730
Phone (732) 872-6595

900 Easton Ave
Ste 22
Somerset, NJ 08873
Phone (732) 846-9400

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1912707191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EASTON AVE STE 22",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731760",
            "telephone_number": "732-846-9400",
            "fax_number": "732-846-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EASTON AVE STE 22",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731760",
            "telephone_number": "732-846-9400",
            "fax_number": "732-846-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01224700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.