Active NPI
John Samuel Rizzo, M.D.
- Ophthalmology Physician
- Ridley Park, PA
National Provider Identifier
1164518742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD021260E
- Practice address
- 8 Morton Avenue
Suite 101
Ridley Park, PA 19078 - Phone
- (610) 521-2111
- Fax
- (610) 521-3048
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD021260E | PA | Primary |
Addresses
Primary practice location
8 Morton Avenue
Suite 101
Ridley Park, PA 19078
Mailing address
8 Morton Avenue
Suite 101
Ridley Park, PA 19078
Phone (610) 521-2111
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31269A | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 4131201 | Other | AETNA | |
| 0008385580001 | Medicaid | PA | |
| 6424861B | Other | CIGNA | |
| 0031054000 | Other | PA | IBC-KEYSTONE HMO |
| 180010183 | Other | RAILROAD MEDICARE | |
| PS44146 | Other | PA | OXFORD |
| 166019 | Other | PA | IBC |
| 36784000 | Other | DAVIS VISION | |
| P47921001 | Other | MULTIPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1164518742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MORTON AVENUE",
"address_2": "SUITE 101",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-521-2111",
"fax_number": "610-521-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MORTON AVENUE",
"address_2": "SUITE 101",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-521-2111",
"fax_number": "610-521-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD021260E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "31269A",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4131201",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008385580001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6424861B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC-KEYSTONE HMO",
"identifier": "0031054000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180010183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "PS44146",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "166019",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "36784000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P47921001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.