Individual provider Active NPI

Frank Michael Iacovone Jr., M.D.

  • Interventional Cardiology Physician
  • Bronx, NY
National Provider Identifier
1912967977
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA06190100 Issued in NJ
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

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2089494MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000367 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648247601 Reassigns benefits to 3 organizations

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
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

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 Hospital, Belleville, NJ, CCN 310009
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06190100NJMDInternal Medicine Physician
205968NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Apr 16, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 1, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 1, 2023 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 16, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
TBHC Pediatric Services PC PastSince Jan 1, 2016 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

  • Direct secure messaging: frank.iacovone@direct.bayonnemedicalcenter.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.