Vincent Joseph Iacono, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

029866 Issued in NY

Practice address

110 Rockland Hall-Periodontics
School of Dental Medicine-Stony Brook University
Stony Brook, NY 11794-8703

Phone

(631) 632-8895

Fax

(631) 632-3113

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: vincent.iacono@direct.stonybrookmedicine.edu

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619003829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROCKLAND HALL-PERIODONTICS",
            "address_2": "SCHOOL OF DENTAL MEDICINE-STONY BROOK UNIVERSITY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948703",
            "telephone_number": "631-632-8895",
            "fax_number": "631-632-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROCKLAND HALL-PERIODONTICS",
            "address_2": "SCHOOL OF DENTAL MEDICINE-STONY BROOK UNIVERSITY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948703",
            "telephone_number": "631-632-8895",
            "fax_number": "631-632-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACONO",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "029866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nicholas Hurley, M.D.
• Farhan M Husain, MD
• Zeenat Hussain, DO
• Tara Lynn Huston, MD
• Taemin Hwang, M.D.
• Omar Ibarra Aleman
• Leah Ibrahim Puri
• Kelly Ieong
• Peter Igarashi, MD
• Hina Ijaz

• Periodontics in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Periodontics in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.