Active NPI
Ferdinand Iannaccone, D.O.
- Interventional Pain Medicine Physician
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MB10036700
- Practice address
- 1455 Broad St Ste 250
Bloomfield, NJ 07003-3066 - Phone
- (877) 532-7837
- NPI assigned
- Apr 23, 2012
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 25MB10036700 | NJ | Primary |
Addresses
Primary practice location
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Mailing address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Rowan University School of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1455 Broad St
Bloomfield, NJ 07003-3047
Phone (732) 784-3578
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Be Healthy LLC | Pain Medicine | Current | Accepting new patients |
| All Be Healthy LLC | Pain Medicine | Current | Accepting new patients |
| Innovative Spine and Pain Center, P.C. | Interventional Pain Medicine | Past | Accepting new patients |
Locations
1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982
150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600
210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322
300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282
765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709
525 State Route 35
Tinton Falls, NJ 07701
Phone (732) 747-6833
1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Newark, NJ
- NPI 1801340385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1851658397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 BROAD ST STE 250",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033066",
"telephone_number": "877-532-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 BROAD ST STE 250",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033066",
"telephone_number": "877-532-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNACCONE",
"first_name": "FERDINAND",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MB10036700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.