Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Isidro, MD

Individual provider Psychiatry Physician · NPI 1295215150

Ethan Isidro, MD is a Psychiatry in Florham Park, New Jersey. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2019, 7 years ago. Practices with Advanced Psychiatric Associates LLC, a 9-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NJ
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

256 Columbia Tpke Ste 209
Florham Park, NJ 07932-1238
Phone: (201) 487-1240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA10566900 (NJ)

Record details

NPI number1295215150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022
Mailing address14 Coeyman Ave, Nutley, NJ 07110-1514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2019 (7 years in practice)
Group practice Advanced Psychiatric Associates Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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