Healthcare Provider Details

I. General information

NPI: 1881562759
Provider Name (Legal Business Name): JOSEPH PETER IANNIELLO DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4832 MACARTHUR BLVD NW
WASHINGTON DC
20007-1557
US

IV. Provider business mailing address

129 W ST NW APT 104
WASHINGTON DC
20001-1303
US

V. Phone/Fax

Practice location:
  • Phone: 202-337-0120
  • Fax:
Mailing address:
  • Phone: 718-612-4016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number0301205527
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberV-08905
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVET200001189
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: