Jason Ianni, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02984800 Issued in NJ

Practice address

556 N Harding Hwy
Vineland, NJ 08360-8713

Phone

(856) 697-2440

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marcucci Dental Inc

  dba Marcucci Dental

  • Dental Clinic/Center
  • Vineland, NJ
  • NPI 1497392864
  NPD
• P John Marcucci DDS PC

  • Dentist
  • Vineland, NJ
  • NPI 1205944733
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1952094765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S LINCOLN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617237",
            "telephone_number": "856-305-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N HARDING HWY",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608713",
            "telephone_number": "856-697-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNI",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02984800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Hutton, LPN
• Katy Bao Tran Huynh, DO
• Ryan Hyndman, NCPRSS
• Maura Shea Hynes
• James Ianni
• Mustafa Sarmad Ibrahim, DPM
• Ed Igle, MSW
• Ngozi Udoka Iloka, PT.DPT.MPH
• Nnamdi Ilonzo, DO
• Imaging Associates, PA (South Jersey MRI)

• General Practice Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.