Bruce S. Zitkus, EDD, ANP-BC, FNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

301909 Issued in NY

Practice address

Visiting Nurse Service & Hospice of Suffolk, Inc.
505 Main Street
Northport, NY 11768

Phone

(631) 439-2740

Fax

(631) 912-1417

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Visiting Nurse Service and Hospice of Suffolk Inc

  • Home Health Agency
  • Northport, NY
  • NPI 1225272511
  Medicare reassignment NPD
• Visiting Nurse Service and Hospice of Suffolk Inc.

  • Community Based Hospice Care Agency
  • Northport, NY
  • NPI 1184652018
  NPD

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316934573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CALVIN AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912136",
            "telephone_number": "631-330-9693",
            "fax_number": "949-209-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC.",
            "address_2": "505 MAIN STREET",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-439-2740",
            "fax_number": "631-912-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Calvin Ave",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117912136",
            "country_code": "US",
            "telephone_number": "516-584-6375",
            "fax_number": "949-209-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZITKUS",
        "first_name": "BRUCE",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "EDD, ANP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "421621",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali John Zarrabi, M.D.
• Raymond Louis Zbikowski, LCSW
• Zane Zdatny, LCSW
• Jennifer Anne Zethner, RN,MS,PNP
• Athena Zias Dilena, MD
• Michele Zito, PHARM.D
• Robert Joseph Znaniecki I, P.T.
• Stanley Zucker, M.D.

• Adult Health Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.