Nicholas Rizzitello, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00159000 Issued in NJ

Practice address

1200 Clinton Ave
Suite 100
Irvington, NJ 07111

Phone

(973) 374-2456

Fax

(973) 374-0708

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Irvington Physical Therapy

  • Physical Therapist
  • Irvington, NJ
  • NPI 1508912635
  NPD (past)
• Prestige Pain Centers PC

  • Interventional Pain Medicine Physician
  • Carteret, NJ
  • NPI 1649706896
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1326113804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 100",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-374-2456",
            "fax_number": "973-374-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 100",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-374-2456",
            "fax_number": "973-374-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZITELLO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00159000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliable Healthcare Agency Inc.
• Victoria Sophia Richards
• Tricia Riley, PTA
• Rite Aid
• Rite Aid of New Jersey Inc
• Marissa D Rodriguez Gomes, LSW
• Semper B Rogers, MT
• Song Yi Roh, DDS
• Nasandi Nequandi Rollins
• Romeo a. Tiu, M.D., P.a.

• Sports Physician Chiropractor in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.