Integrated Services Digital Network adapters can be used to send voice, data, audio, or video over standard telephone cabling. ISDN adapters must be connected directly to a digital telephone network. ISDN adapters are not actually modems, since they neither modulate nor demodulate the digital ISDN signal.

Like standard modems, ISDN adapters are available both as internal devices that connect directly to a computer's expansion bus and as external devices that connect to one of a computer's serial or parallel ports. ISDN can provide data throughput rates from 56 Kbps to 1.544 Mbps (using a T1 carrier service).

ISDN hardware requires a NT (network termination) device, which converts network data signals into the signaling protocols used by ISDN. Some times, the NT interface is included, or integrated, with ISDN adapters and ISDN-compatible routers. In other cases, an NT device separate from the adapter or router must be implemented.

ISDN works at the physical, data link, network, and transport layers of the OSI Model.