Active NPI
Jonathan M Iaccarino, MD
- Pulmonary Disease Physician
- Boston, MA
National Provider Identifier
1730403221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 261827
- Practice address
- 725 Albany Street
Shapiro 9, Suite B
Boston, MA 02118-2307 - Phone
- (617) 638-7480
- Fax
- (617) 638-7486
- NPI assigned
- Mar 26, 2010
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 261827 | MA | Primary |
Addresses
Primary practice location
725 Albany Street
Shapiro 9, Suite B
Boston, MA 02118-2307
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1730403221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY STREET",
"address_2": "SHAPIRO 9, SUITE B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182307",
"telephone_number": "617-638-7480",
"fax_number": "617-638-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACCARINO",
"first_name": "JONATHAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "261827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.