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Dr. Jack Italiano III, DO

Sports Medicine (Family Medicine) Physician in New Hyde Park, NY · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629606124

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Registry record

Entity type Individual (Type 1)
Name Dr. Jack Italiano III
Credential DO
Sex Male
Practice address 1999 Marcus Ave Ste 202, New Hyde Park, NY, 11042
Phone (516) 467-8600
Fax (646) 754-9820
Enumeration date Mar 30, 2020
Last updated in NPPES Apr 2, 2025

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 327932 (NY) Secondary
207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 327932 (NY) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jack Italiano's NPI record?
Cross-check NPI 1629606124 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1629606124 active?
Yes, as of the latest NPPES snapshot, NPI 1629606124 is active (record last updated 2025-04-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-02.