Individual provider Active NPI

Marilyn Iacoviello, COTA

  • Durable Medical Equipment & Medical Supplies
  • East Orange, NJ
National Provider Identifier
1205280831
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
320 S Harrison St Apt 20H
East Orange, NJ 07018-1335
Phone
(973) 223-2950
NPI assigned
Apr 20, 2016
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Occupational Therapy Assistant 224Z00000X 46TA09129700 NJ

Addresses

Primary practice location

320 S Harrison St Apt 20H
East Orange, NJ 07018-1335

Mailing address

320 S Harrison St Apt 20H
East Orange, NJ 07018-1335
Phone (973) 223-2950

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
46TA09129700NJMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tony and Ava LLC Durable Medical Equipment & Medical Supplies CurrentSince Jan 1, 2021 Accepting new patients
Tony and Ava LLC CurrentSince Sep 21, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1205280831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S HARRISON ST APT 20H",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181335",
            "telephone_number": "973-223-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S HARRISON ST APT 20H",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181335",
            "telephone_number": "973-223-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVIELLO",
        "first_name": "MARILYN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09129700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.