Individual provider Active NPI

James Patrick Iovino, D.D.S.

  • Periodontics
  • Southampton, NY
National Provider Identifier
1134460223
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
057323 Issued in NY
Practice address
19 W Neck Point Rd
Southampton, NY 11968-2251
Phone
(631) 668-0294
NPI assigned
Mar 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 057323 NY Primary

Addresses

Primary practice location

19 W Neck Point Rd
Southampton, NY 11968-2251

Mailing address

19 W Neck Point Rd
Southampton, NY 11968-2251
Phone (631) 668-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057323NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1134460223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W NECK POINT RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682251",
            "telephone_number": "631-668-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W NECK POINT RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682251",
            "telephone_number": "631-668-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOVINO",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "057323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.