Active NPI
Anthony P Zollo, D.O.
- Internal Medicine Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9701905
- Practice address
- 124 Sunset Hill Road
Statesville, NC 28625-2729 - Phone
- (704) 872-8711
- Fax
- (704) 872-5866
- NPI assigned
- Nov 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102037126 | VA | |
| Internal Medicine Physician | 207R00000X | 9701905 | NC | Primary |
Addresses
Primary practice location
124 Sunset Hill Road
Statesville, NC 28625-2729
Mailing address
124 Sunset Hill Rd
Statesville, NC 28625-2729
Phone (704) 872-8711
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010112591 | Medicaid | VA | |
| 2129939 | Other | MAMSI | |
| 5586237 | Other | AETNA | |
| TN0122 | Other | JOHN DEERE HEALTH (W/S) | |
| 010112516 | Medicaid | VA | |
| 891130N | Medicaid | NC | |
| 1130N | Other | NC | BCBS |
| 76912 | Other | MEDCOST | |
| TN0105 | Other | JOHN DEERE HEALTH (MA) | |
| 010112460 | Medicaid | VA | |
| 166428 | Other | VA | ANTHEM (GALAX) |
| 167242 | Other | VA | ANTHEM (W/S) |
| 2657722 | Other | AETNA | |
| P00208710 | Other | VA | MEDICARE RAILROAD |
| 709406002 | Other | NC | CIGNA HEALTHCARE |
| TN0121 | Other | JOHN DEERE HEALTH (GAL) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azollo238911@nyumc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
11700 Main Rd
Suite 7
Mattituck, NY 11952-1525
Phone (631) 963-4770
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-2701
Hospital & facility affiliations
- Catholic Home Care
- Peconic Bay Homehealth Services
- Suny/Stony Brook University Hospital
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701905 | NC | MD | Internal Medicine Physician |
| 0102037126 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Winthrop Community Medical Affiliates PC | Internal Medicine | Past | Accepting new patients |
| BT Heart and Vascular Center, PLLC | Past | Accepting new patients |
Locations
74825 Main Rd
Greenport, NY 11944
Phone (631) 477-1720
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
11700 Main Rd
Ste 2
Mattituck, NY 11952
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- anthony-zollo@swishermedicine.e-mdsdirect.com
- azollo238911@nyumc.direct-ci.com
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Cardiovascular Disease Physician
- Mount Airy, NC
- NPI 1043294200
-
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1225019946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SUNSET HILL RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286252729",
"telephone_number": "704-872-8711",
"fax_number": "704-872-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SUNSET HILL ROAD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286252729",
"telephone_number": "704-872-8711",
"fax_number": "704-872-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLLO",
"first_name": "ANTHONY",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102037126",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9701905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010112591",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2129939",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5586237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH (W/S)",
"identifier": "TN0122",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010112516",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891130N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1130N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "76912",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH (MA)",
"identifier": "TN0105",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010112460",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM (GALAX)",
"identifier": "166428",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM (W/S)",
"identifier": "167242",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2657722",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00208710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "709406002",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH (GAL)",
"identifier": "TN0121",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azollo238911@nyumc.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "74825 Main Rd",
"city": "Greenport",
"state": "NY",
"country_code": "US",
"postal_code": "119442823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.