Active NPI
Frank Michael Iacovone Jr., M.D.
- Interventional Cardiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25MA06190100
- Practice address
- 4422 3Rd Ave
Bronx, NY 10457-2545 - Phone
- (718) 960-9177
- Fax
- (718) 960-9176
- NPI assigned
- Mar 24, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06190100 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 205968 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA06190100 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | 25MA06190100 | NJ | Primary |
| Interventional Cardiology Physician | 207RI0011X | 0101249781 | VA |
Addresses
Primary practice location
4422 3Rd Ave
Bronx, NY 10457-2545
Mailing address
450 East 82 St
Apt. 16 a
New York, NY 10028
Phone (347) 525-7535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089494 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2616
248 Columbia Tpke
Suite 3
Florham Park, NJ 07932-1210
Phone (973) 514-1767
475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000
50 Newark Ave
Suite 609
Belleville, NJ 07109-1185
Phone (973) 969-1020
755 Memorial Pkwy
Suite 106
Phillipsburg, NJ 08865-2774
Phone (484) 503-8281
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Clara Maass Medical Center
- Cooperman Barnabas Medical Center
- St Luke'S Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06190100 | NJ | MD | Internal Medicine Physician |
| 205968 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Internal Medicine | Current | Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| TBHC Pediatric Services PC | Past | Accepting new patients | |
| Caledonian Health Center | Past | Accepting new patients |
Locations
50 Newark Ave
Ste 204
Belleville, NJ 07109
Phone (973) 450-2158
222 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 261-9077
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777
Interoperability endpoints
- frank.iacovone@direct.bayonnemedicalcenter.md
- fiacovone95919@epicdirect.rwjbh.org
Organizations & group practices 9
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.
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
NJ
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Obesity Medicine (Internal Medicine) Physician
- Phillipsburg, NJ
- NPI 1548708746
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1184657355
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1861628091
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
Hospital
-
- General Acute Care Hospital
- Phillipsburg, NJ
- NPI 1760488266
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1912967977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 EAST 82 ST",
"address_2": "APT. 16 A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "347-525-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-9177",
"fax_number": "718-960-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOVONE",
"first_name": "FRANK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06190100",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "205968",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA06190100",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NJ",
"license": "25MA06190100",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101249781",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2089494",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
- 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.