Active NPI
Vincent R. Iacono, M.D.
- Specialist
- Warwick, RI
National Provider Identifier
1235103458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 004352
- Practice address
- 560 Toll Gate Rd
Warwick, RI 02886-2716 - Phone
- (401) 738-8610
- Fax
- (401) 732-6629
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 004352 | RI | Primary |
Addresses
Primary practice location
560 Toll Gate Rd
Warwick, RI 02886-2716
Mailing address
560 Toll Gate Rd
Warwick, RI 02886-2716
Phone (401) 738-8610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001081 | Other | RI | BLUE CHIP |
| 786-7 | Other | RI | BLUE CROSS OF RHODE ISLAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004352 | RI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235103458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862716",
"telephone_number": "401-738-8610",
"fax_number": "401-732-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862716",
"telephone_number": "401-738-8610",
"fax_number": "401-732-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONO",
"first_name": "VINCENT",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "004352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "001081",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF RHODE ISLAN",
"identifier": "786-7",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.