DR. ANDREW ANGELO JACONO (NPI# 1245247949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245247949 |
| Entity Type | Individual |
| Full Name | DR. ANDREW ANGELO JACONO |
| Credential | MD |
| Practice Address |
440-450 Northern Blvd Great Neck NY 11021 |
| Mailing Address |
440 Northern Blvd Great Neck NY 11021 |
| Practice Telephone | 5167734646 |
| Practice Fax Number | 5167731360 |
| Mailing Telephone | 5167734646 |
| Mailing Fax Number | 5167731360 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2089311 | NY | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 2089311 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
440-450 NORTHERN BLVD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639304561 | Margherita Bruni | Otolaryngology | 600 Northern Blvd Ste 100, Great Neck, NY 11021-5200 | 2009-05-21 |
| 1760498042 | Ronald A Levy | Otolaryngology | 29 Barstow Road, Great Neck, NY 11021 | 2006-07-31 |
| 1518981935 | Howard S Brownstein | Otolaryngology | 19 Somerset Drive S, Great Neck, NY 11020 | 2006-07-27 |
| 1083610455 | Josh Werber | Otolaryngology | 833 Northern Blvd, Ste 260, Great Neck, NY 11021-5320 | 2005-06-22 |
| 1780027292 | Aurash Sean Alemi | Otolaryngology | 440 Northern Blvd, Great Neck, NY 11021 | 2013-04-15 |
| 1831410596 | Scott S Harris | Otolaryngology | 600 Northern Blvd Ste 100, Great Neck, NY 11021-5200 | 2010-06-17 |
| 1790920312 | Kenneth F Mattucci Mdpc | Otolaryngology | 29 Barstow Rd, Great Neck, NY 11021-2209 | 2008-12-10 |
| 1487687851 | Prajoy Kadkade | Otolaryngology | 935 Northern Blvd, Suite 103, Great Neck, NY 11021-5316 | 2006-07-09 |
| 1265463921 | Karen Ann Haunss-sapinski | Otolaryngology | 833 Northern Blvd, Suite 260, Great Neck, NY 11021-5315 | 2006-07-05 |
| 1679558118 | Richard G Etra | Otolaryngology | 560 Northern Blvd, Great Neck, NY 11021-5100 | 2005-12-07 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.