Active NPI
Anthony Iuzzolino, M.D.
- Cardiovascular Disease Physician
- Summit, NJ
National Provider Identifier
1528153996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04468500
- Practice address
- 33 Overlook Road
Suite 303
Summit, NJ 07901 - Phone
- (908) 522-1000
- Fax
- (908) 522-9521
- NPI assigned
- Oct 3, 2006
- Last updated
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04468500 | NJ | Primary |
Addresses
Primary practice location
33 Overlook Road
Suite 303
Summit, NJ 07901
Mailing address
33 Overlook Road
Suite 303
Summit, NJ 07901
Phone (908) 522-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110915000618 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 1355512799 | Practice locations: Summit, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1528153996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OVERLOOK ROAD",
"address_2": "SUITE 303",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-522-1000",
"fax_number": "908-522-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK ROAD",
"address_2": "SUITE 303",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-522-1000",
"fax_number": "908-522-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IUZZOLINO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA04468500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.