Individual provider Active NPI

James Cristopher Izzano, M.D.

  • Obstetrics & Gynecology Physician
  • Johnstown, NY
National Provider Identifier
1033475215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
285481 Issued in NY
Practice address
700 S Perry St
Johnstown OB/GYN Health Center
Johnstown, NY 12095-3213
Phone
(518) 736-1004
Fax
(518) 762-8829
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 285481 NY Primary

Addresses

Primary practice location

700 S Perry St
Johnstown OB/GYN Health Center
Johnstown, NY 12095-3213

Mailing address

700 S Perry St
Johnstown OB/GYN Health Center
Johnstown, NY 12095-3213
Phone (518) 736-1004

Other practice location 1

446a Guy Park Ave.
Amsterdam OB/GYN Health Center
Amsterdam, NY 12010-1005
Phone (518) 842-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001435 NY Practitioner - Obstetrics/Gynecology 2466759550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 842-0373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Sep 12, 2016 Accepting new patients
St. Mary'S Healthcare CurrentSince Sep 12, 2016 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

446A Guy Park Ave
Amsterdam, NY 12010
Phone (518) 770-7880

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033475215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PERRY ST",
            "address_2": "JOHNSTOWN OB/GYN HEALTH CENTER",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953213",
            "telephone_number": "518-736-1004",
            "fax_number": "518-762-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PERRY ST",
            "address_2": "JOHNSTOWN OB/GYN HEALTH CENTER",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953213",
            "telephone_number": "518-736-1004",
            "fax_number": "518-762-8829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446a Guy Park Ave.",
            "address_2": "Amsterdam OB/GYN Health Center",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101005",
            "country_code": "US",
            "telephone_number": "518-842-0373",
            "fax_number": "518-842-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZZANO",
        "first_name": "JAMES",
        "middle_name": "CRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "285481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.