Organization Active NPI

Anthony Joseph Rizzo DO PC

Doing business as Islandhealth

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1114126398
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225776 Issued in NY
Legal business name
ANTHONY JOSEPH RIZZO DO PC
Doing business as
Islandhealth
Practice address
200 Howells Rd
Bay Shore, NY 11706-5351
Phone
(631) 666-1956
Fax
(631) 666-1957
NPI assigned
Jul 17, 2007
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Deborah C. Leo
Title
Practice Manager
Phone
(631) 666-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225776 NY Primary

Addresses

Primary practice location

200 Howells Rd
Bay Shore, NY 11706-5351

Mailing address

200 Howells Rd
Bay Shore, NY 11706-5351
Phone (631) 666-1956

Other practice location 1

433 Lake Ave
Saint James, NY 11780-2207
Phone (631) 584-6014

Other names 1

  • ISLANDHEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000281 NY Part B Supplier - Clinic/Group Practice 2769497510 Receives reassigned benefits from 5 practitioners
Practice locations: Bay Shore, NY; Saint James, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2081754Anthony Joseph Rizzo DO PC433 Lake Avenue, Saint James, NY 11780Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

200 Howells Rd
Ste B
Bay Shore, NY 11706

2171 Jericho Tpke
Ste 304
Commack, NY 11725
Phone (631) 462-2993

433 Lake Ave
Saint James, NY 11780
Phone (631) 462-2993

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1114126398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-666-1956",
            "fax_number": "631-666-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-666-1956",
            "fax_number": "631-666-1957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "NY",
            "postal_code": "117802207",
            "country_code": "US",
            "telephone_number": "631-584-6014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHONY JOSEPH RIZZO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "LEO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-666-1956"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLANDHEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ISLANDHEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.