Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Italiano III, DO

Individual provider Orthopaedic Surgery Physician · NPI 1629606124

Dr. Jack Italiano III, DO is an Orthopedic Surgery in New Hyde Park, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2020, 6 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1999 Marcus Ave Ste 202
New Hyde Park, NY 11042-1021
Phone: (516) 467-8600
Fax: (646) 754-9820
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 327932 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 327932 (NY)

Record details

NPI number1629606124
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2020 (6 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in New Hyde Park