Andrew Angelo Jacono, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2089311 Issued in NY

Practice address

440-450 Northern Blvd
Great Neck, NY 11021

Phone

(516) 773-4646

Fax

(516) 773-1360

NPI assigned

Aug 2, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Andrew Jacono MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
  • NPI 1134352024
  Authorized official Same address or phone
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1245247949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-773-4646",
            "fax_number": "516-773-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440-450 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-773-4646",
            "fax_number": "516-773-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACONO",
        "first_name": "ANDREW",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "2089311",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "2089311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Gohari, MD PLLC
• Mitchel Jacobs, MD
• Daniel R Jacobsen, MS, FNP-BC
• Susan Jacobson
• Matthew David Jacofsky, PSY.D.
• Roya Jafari-Hassad, MD
• Shuchie Jaggi, D.O.
• Tahmina Jahir, MD
• Negin Jalayer, PT
• Tessa Josie James

• Otolaryngology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.