Individual provider Active NPI

Michael Stephen Zito-Govert, APN

  • Primary Care Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1396262200
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00754300 Issued in NJ
Practice address
1640 Route 88 West
Suite 203
Brick, NJ 08724
Phone
(732) 458-7777
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 26NJ00754300 NJ Primary

Addresses

Primary practice location

1640 Route 88 West
Suite 203
Brick, NJ 08724

Mailing address

110 Lawrence Dr
Lanoka Harbor, NJ 08734-2325
Phone (206) 818-6328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20180105000070 NJ Practitioner - Nurse Practitioner 2668731282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00754300NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Carolan MD LLC Single Specialty CurrentSince Oct 30, 2017 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jul 23, 2018 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Single Specialty CurrentSince Jul 23, 2018 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

1640 Route 88 W
Ste 203
Brick, NJ 08724
Phone (732) 458-7777

597 Park Ave
Ste B
Freehold, NJ 07728
Phone (732) 294-2540

2701 Route 70
Ste B
Manasquan, NJ 08736
Phone (732) 458-7777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1396262200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAWRENCE DR",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342325",
            "telephone_number": "206-818-6328",
            "fax_number": "877-203-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88 WEST",
            "address_2": "SUITE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO-GOVERT",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00754300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.