Active NPI
Aldo T Iacono, MD
- Critical Care Medicine (Internal Medicine) Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- D62655
- Practice address
- 410 Lakeville Road
Suite 105
New Hyde Park, NY 11042 - Phone
- (516) 465-5417
- Fax
- (516) 465-5392
- NPI assigned
- May 20, 2006
- Last updated
- Sep 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D62655 | MD | Primary |
| Pulmonary Disease Physician | 207RP1001X | D62655 | MD |
Addresses
Primary practice location
410 Lakeville Road
Suite 105
New Hyde Park, NY 11042
Mailing address
410 Lakeville Road
Suite 105
New Hyde Park, NY 11042
Phone (516) 465-5417
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406952800 | Medicaid | MD | |
| S062-0256 | Other | MD | CAREFIRST BC/BS |
| 1962456392 | Medicaid | DE | |
| 645699-01 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 054292100 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kdoolitt@northwell.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
410 Lakeville Rd
Suite 107
New Hyde Park, NY 11042-1102
Phone (516) 465-5400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| University of Maryland Physicians PA | Critical Care Medicine | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Pulmonary Disease | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Critical Care Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
410 Lakeville Rd
Ste 105
North New Hyde Pk, NY 11042
Phone (516) 465-5255
410 Lakeville Rd
Ste 107
North New Hyde Pk, NY 11042
Phone (516) 465-5400
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aiacono68376@northwell.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Pulmonary Disease
-
dba Shock Trauma Associates
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
dba University of Maryland Medical Group - Cardiology
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1689623175
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
dba University of Maryland Medical Group - Geographic Medicine
- Infectious Disease Physician
- Baltimore, MD
- NPI 1720038540
-
dba University of Maryland Medical Group - Critical Care Medicine
- Critical Care Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1760291413
-
dba University of Maryland Medical Group - Infectious Disease
- Infectious Disease Physician
- Baltimore, MD
- NPI 1134179955
Critical Care Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1962456392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 LAKEVILLE ROAD",
"address_2": "SUITE 105",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-465-5417",
"fax_number": "516-465-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 LAKEVILLE ROAD",
"address_2": "SUITE 105",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-465-5417",
"fax_number": "516-465-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONO",
"first_name": "ALDO",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D62655",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D62655",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406952800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "S062-0256",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962456392",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "645699-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054292100",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kdoolitt@northwell.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "410 Lakeville Rd Ste 105",
"city": "New Hyde Park",
"state": "NY",
"country_code": "US",
"postal_code": "110421102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.