Individual provider Active NPI

Anthony Martin Zizza III, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Westborough, MA
National Provider Identifier
1134430747
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
257465 Issued in MA
Practice address
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone
(617) 420-5316
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245455 MA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 257465 MA Primary

Addresses

Primary practice location

1400 Computer Dr Ste 301
Westborough, MA 01581-1790

Mailing address

12 Parkway Dr
Saugus, MA 01906-1957
Phone (781) 347-1380

Other practice location 1

12 Parkway Dr
Saugus, MA 01906-1957
Phone (781) 347-1380

Other practice location 2

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (833) 229-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140327001459 MA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9739310194 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245455MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2014 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Interoperability endpoints

  • Direct secure messaging: anthony.zizza.p1@direct.elementcare.nextgenshare.com
  • Direct secure messaging: azizza@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1134430747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARKWAY DR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061957",
            "telephone_number": "781-347-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "617-420-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Saugus",
            "state": "MA",
            "postal_code": "019061957",
            "country_code": "US",
            "telephone_number": "781-347-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "833-229-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIZZA",
        "first_name": "ANTHONY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "245455",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "257465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.