NPIMap

Individual provider Active NPI

Richard Zito, M.D.

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1366555849
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
191152 Issued in NY
Practice address
69 Bayview Ave
East Islip, NY 11730-3118
Phone
(631) 446-1924
Fax
(631) 277-0899
NPI assigned
Aug 17, 2006
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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 191152 NY Primary

Addresses

Primary practice location

69 Bayview Ave
East Islip, NY 11730-3118

Mailing address

69 Bayview Ave
East Islip, NY 11730-3118
Phone (631) 446-1924

Other identifiers 1

IdentifierTypeStateIssuer
01462317MedicaidNY

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
I20060411000734 NY Practitioner - Family Practice 4789693292 Reassigns benefits to 2 organizations
Practice locations: East Islip, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

130 Lake Ave S
Nesconset, NY 11767-1001
Phone (888) 380-8807

6355 Broadway
Bronx, NY 10471-2701
Phone (718) 708-0940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Richard Zito, MD PC Family Medicine Current Accepting new patients
Peyman Younesi MD PLLC CurrentSince Mar 20, 2024 Accepting new patients
County of Suffolk Past Accepting new patients
Wavecrest Home for Adults Past Accepting new patients
County of Suffolk Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

211 Lake Shore Rd
Ronkonkoma, NY 11779
Phone (516) 581-1476

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1366555849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BAYVIEW AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303118",
            "telephone_number": "631-446-1924",
            "fax_number": "631-277-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BAYVIEW AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303118",
            "telephone_number": "631-446-1924",
            "fax_number": "631-277-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "191152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01462317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.