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ETHAN ISIDRO MD
NPI 1295215150
Psychiatry & Neurology - Psychiatry in Florham Park, NJ

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment
256 COLUMBIA TPKE STE 209, FLORHAM PARK, NJ 07932(201) 487-1240 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2022, Jan 27, 2022, Aug 20, 2018 (3 updates tracked since 2018).

About Ethan Isidro Md NPPES

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

ETHAN ISIDRO MD (NPI 1295215150) is an individual psychiatry provider in Florham Park, New Jersey, licensed in New Jersey (25MA10566900) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2019).

NPPES Registry Identity

NPI1295215150
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameETHAN ISIDROCredential: MD
Location Address256 COLUMBIA TPKE STE 209Florham Park, NJ 07932-1238
Mailing Address14 Coeyman AveNutley, NJ 07110-1514
Phone(201) 487-1240
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2019
Enumeration DateAugust 20, 2018
Last NPPES UpdateFebruary 9, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1295215150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA10566900
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
256 COLUMBIA TPKE STE 209, Florham Park, NJ 07932
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Isidro Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082004809
PECOS Enrollment IDI20211209000118
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.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Isidro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Psychiatric Associates, LLC
19 mi
Psychiatry
211 ESSEX STREET, SUITE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1760673198 (201) 487-1240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07932 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ethan Isidro's NPI number?

The NPI number for Ethan Isidro is 1295215150. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Ethan Isidro located?

Ethan Isidro practices at 256 Columbia Tpke Ste 209, Florham Park, NJ 07932. The listed phone number is (201) 487-1240.

What is Ethan Isidro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ethan Isidro enrolled in Medicare?

Yes. Ethan Isidro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ethan Isidro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Isidro reassigns Medicare benefits to Advanced Psychiatric Associates, LLC (Hackensack, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Isidro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Isidro was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.