Healthcare Provider Details

I. General information

NPI: 1700493855
Provider Name (Legal Business Name): BENJAMIN JOSEPH ISOLA PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 W PARKWAY
POMPTON PLAINS NJ
07444-1029
US

IV. Provider business mailing address

242 W PARKWAY
POMPTON PLAINS NJ
07444-1029
US

V. Phone/Fax

Practice location:
  • Phone: 973-831-0717
  • Fax:
Mailing address:
  • Phone: 973-831-0717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01953300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: