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DR. NEIL L ISDANER M.D.
NPI 1093783409
Specialist in Philadelphia, PA

Active since March 10, 2006PECOS EnrolledCLIA 39D0670145 · Waiver
7602 CENTRAL AVE, SUITE 103, PHILADELPHIA, PA 19111(215) 745-7411(215) 745-7488 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Neil L Isdaner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NEIL L ISDANER M.D. (NPI 1093783409) is an individual specialist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD017922E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1093783409
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. NEIL L ISDANERCredential: M.D.
Location Address7602 CENTRAL AVE, SUITE 103Philadelphia, PA 19111-2443
Mailing Address7602 Central Ave, Suite 103Philadelphia, PA 19111-2443 · (215) 745-7411 · Fax (215) 745-7488
Phone(215) 745-7411
Fax(215) 745-7488
Sole ProprietorYes
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 3, 2017
✔ NPI 1093783409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD017922E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7602 CENTRAL AVE, Philadelphia, PA 19111
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINB37118PA
Other05971PA · Ushc
Other0052872000PA · Keystone/personal Choice
Other47074PA · Keystone Mercy
Medicare ID-Type Unspecified119046PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Neil L Isdaner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0670145

Neil L Isdaner MD PC · Philadelphia, PA
Active · expires Aug 31, 2026
CLIA Number39D0670145
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNeil L. Isdaner
Laboratory Phone(215) 745-7411
Laboratory LocationNeil L Isdaner MD PC10125 Verree Rd, Ste #105, Philadelphia, PA 19116
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT SHORE MD
Internal Medicine
7602 CENTRAL AVE, STAPELEY BLDG SUITE 101
PHILA, PA 19111
Philadelphia County (215) 969-2900
MARGARET ZALEWSKI MD
Psychiatry & Neurology (Neurology)
7602 CENTRAL AVE, STE 203
PHILA, PA 19111
Philadelphia County (215) 342-6481
TEMPLE PHYSICIANS INC.
Obstetrics & Gynecology (Gynecology)
7602 CENTRAL AVE, SUITE 201
PHILADELPHIA, PA 19111
Philadelphia County (215) 745-8989
TEMPLE PHYSICIANS INC
Internal Medicine
7602 CENTRAL AVE, SUITE 101
PHILADELPHIA, PA 19111
Philadelphia County (215) 969-2900
ALLISON ELIZABETH KEENAN D.O.
Internal Medicine
7602 CENTRAL AVE, STAPELEY BLDG SUITE 101
PHILADELPHIA, PA 19111
Philadelphia County (215) 969-2200
ABEGAEL N LORICO MD
Obstetrics & Gynecology
7602 CENTRAL AVE, STE 201
PHILA, PA 19111
Philadelphia County (215) 745-8989
TEMPLE PHYSICIAN SERVICES INC.
Obstetrics & Gynecology
7602 CENTRAL AVE, SUITE 201, FRONT
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-4291
TEMPLE PHYSICIANS INC.
Obstetrics & Gynecology
7602 CENTRAL AVE, SUITE 201
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-7558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neil Isdaner's NPI number?

The NPI number for Neil Isdaner is 1093783409. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Neil Isdaner located?

Neil Isdaner practices at 7602 Central Ave Suite 103, Philadelphia, PA 19111. The listed phone number is (215) 745-7411.

What is Neil Isdaner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Neil Isdaner enrolled in Medicare?

Yes. Neil Isdaner is registered in the Medicare PECOS enrollment system.

Does Neil Isdaner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0670145) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Neil Isdaner was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.