NPIMap

Individual provider Active NPI

Anthony Joseph Rizzo, DO

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1194736470
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
Practice address
200 Howells Rd
Bay Shore, NY 11706-5351
Phone
(631) 666-1956
Fax
(631) 666-1957
NPI assigned
Aug 11, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
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

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

340 Howells Rd
Suite B
Bay Shore, NY 11706-5309
Phone (631) 666-1956

Other practice location 1

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

Other identifiers 2

IdentifierTypeStateIssuer
P00231452OtherNYMEDICARE RAILROAD
02587924MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000077 NY Practitioner - Family Practice 7113932948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anthony Joseph Rizzo D O P CGroup PAC ID 2769497510, 2 clinicians

Practice addresses (Care Compare)

433 Lake Ave
Saint James, NY 11780-2207
Phone (631) 686-5040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225776NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Joseph Rizzo DO PC Family Medicine CurrentSince Dec 6, 2002 Accepting new patients
Berkshire Nursing Home, LLC Past Accepting new patients
Our Lady of Consolation Geriatric Care Center Past Accepting new patients
St. James Operating LLC Past Accepting new patients
White Oaks Rehabilitation and Nursing Center Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

200 Howells Rd
Bay Shore, NY 11706
Phone (631) 665-1439

340 Howells Rd
Ste B
Bay Shore, NY 11706
Phone (631) 666-1956

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

Interoperability endpoints

  • Direct secure messaging: anthonyrizzo@dajrihcpc.allscriptsdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1194736470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "address_2": "SUITE B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065309",
            "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": {
        "last_name": "RIZZO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00231452",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.