Individual provider Active NPI

Anthony J Rizzetta, DO

  • Internal Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1487618427
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06006800 Issued in NJ
Practice address
1 East New York Ave
Shore Physicians
Somers Point, NJ 08244-0000
Phone
(609) 653-3500
Fax
(609) 926-4311
NPI assigned
Apr 14, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB06006800 NJ Primary

Addresses

Primary practice location

1 East New York Ave
Shore Physicians
Somers Point, NJ 08244-0000

Mailing address

1 East New York Ave.
Somers Point, NJ 08244-0593
Phone (609) 653-3500

Other identifiers 7

IdentifierTypeStateIssuer
1036538OtherHORIZON NJ HEALTH
6330509MedicaidNJ
0739807000OtherAMERIHEALTH
P00730435OtherNJRR MEDICARE (CAPE)
P380303OtherOXFORD HEALTH PLANS
1980137OtherUNITED HEALTHCARE
P01097434OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: anthonyrizzetta@crhs.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1487618427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAST NEW YORK AVE.",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082440593",
            "telephone_number": "609-653-3500",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAST NEW YORK AVE",
            "address_2": "SHORE PHYSICIANS",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082440000",
            "telephone_number": "609-653-3500",
            "fax_number": "609-926-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZETTA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06006800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1036538",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6330509",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0739807000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (CAPE)",
            "identifier": "P00730435",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P380303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1980137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01097434",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.