Provider Demographics
NPI:1588746952
Name:ISAACSON, JULIE H (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:H
Last Name:ISAACSON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:H
Other - Last Name:SKOLNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6395
Mailing Address - Country:US
Mailing Address - Phone:732-222-5200
Mailing Address - Fax:
Practice Address - Street 1:300 2ND AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6303
Practice Address - Country:US
Practice Address - Phone:732-222-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA076509208M00000X
NJ25MA07650900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA07650900OtherMEDICAL LICENSE