Individual provider Active NPI

John Charles Rizzo, DPM

  • Podiatrist
  • Rochester, NY
National Provider Identifier
1033159512
Registry record updated Feb 6, 2008
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Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
004907 Issued in NY
Practice address
465 Westfall Rd
Rochester, NY 14620-4645
Phone
(585) 463-2620
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 004907 NY Primary

Addresses

Primary practice location

465 Westfall Rd
Rochester, NY 14620-4645

Mailing address

186 Clayton St
Rochester, NY 14612-4861
Phone (585) 463-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000465 NY Order and Referring Only - PodiatryPractitioner - Podiatry 4284816240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1033159512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CLAYTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146124861",
            "telephone_number": "585-463-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204645",
            "telephone_number": "585-463-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.