Provider Demographics
NPI:1780758607
Name:ISNAR, NOYEMI (MD)
Entity type:Individual
Prefix:DR
First Name:NOYEMI
Middle Name:
Last Name:ISNAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1422
Mailing Address - Country:US
Mailing Address - Phone:201-384-3733
Mailing Address - Fax:201-384-8251
Practice Address - Street 1:296 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1422
Practice Address - Country:US
Practice Address - Phone:201-384-3733
Practice Address - Fax:201-384-8251
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 49934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0499102Medicaid
NJIS443289Medicare PIN
NJC54634Medicare UPIN