Active NPI
Antonio Izzo
- Family Nurse Practitioner
- Hudson Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338125
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F338125 | Other | NY | NEW 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice of Hudson Falls, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Hudson Falls, NY
- NPI 1386753119
-
- Specialist
- Albany, NY
- NPI 1275624900
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.