Individual provider Active NPI

Antonio Izzo

  • Family Nurse Practitioner
  • Hudson Falls, NY
National Provider Identifier
1720405863
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338125 Issued in NY
Practice address
340A Main St
Hudson Falls, NY 12839-1530
Phone
(518) 747-4117
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338125 NY Primary

Addresses

Primary practice location

340A Main St
Hudson Falls, NY 12839-1530

Mailing address

Family Practice of Hudson Falls, PC
340A Main Street
Hudson Falls, NY 12839-1530
Phone (518) 747-4117

Other identifiers 1

IdentifierTypeStateIssuer
F338125OtherNYNEW YORK STATE LICENSE

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140407001151 NY Practitioner - Nurse Practitioner 9436381480 Practice locations: Hudson Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 A Main St
Hudson Falls, NY 12839-1530
Phone (518) 747-4117

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Hudson Falls, PC CurrentSince Nov 16, 2015 Accepting new patients
Sand Creek Medical PC Past Accepting new patients

Locations

340A Main St
Hudson Falls, NY 12839
Phone (518) 747-4117

Interoperability endpoints

  • Direct secure messaging: aizzo@hffp.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1720405863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY PRACTICE OF HUDSON FALLS, PC",
            "address_2": "340A MAIN STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391530",
            "telephone_number": "518-747-4117",
            "fax_number": "518-747-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340A MAIN ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391530",
            "telephone_number": "518-747-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZO",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "F338125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.