Individual provider Active NPI

Jeffrey Charles Izzo, DVM

  • Veterinarian
  • Tinton Falls, NJ
National Provider Identifier
1568808343
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00197300 Issued in NJ
Practice address
754 Sycamore Ave
Tinton Falls, NJ 07701-4923
Phone
(732) 747-2074
Fax
(732) 747-7722
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00197300 NJ Primary

Addresses

Primary practice location

754 Sycamore Ave
Tinton Falls, NJ 07701-4923

Mailing address

754 Sycamore Ave
Tinton Falls, NJ 07701-4923
Phone (732) 747-2074

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
29VI00197300NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1568808343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 SYCAMORE AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014923",
            "telephone_number": "732-747-2074",
            "fax_number": "732-747-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SYCAMORE AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014923",
            "telephone_number": "732-747-2074",
            "fax_number": "732-747-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZO",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00197300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.