Individual provider Active NPI

Vincent James Zizza III, D.O.

  • Urology Physician
  • Warwick, RI
National Provider Identifier
1528085289
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DO00487 Issued in RI
Practice address
400 Bald Hill Rd
Warwick, RI 02886-1617
Phone
(401) 739-2984
Fax
(401) 739-0867
NPI assigned
Jul 17, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DO487 RI
Urology Physician 208800000X DO00487 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd
Warwick, RI 02886-1617

Mailing address

176 Toll Gate Road
Suite 301
Warwick, RI 02886-4411
Phone (401) 739-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000886 RI Practitioner - Urology 1456439298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Practice
Education
University of New England, College of Osteo Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden City Treatment Center, Inc.Group PAC ID 5597780551, 6 clinicians
Armistice Urgent Care and Occupational Health, Inc.Group PAC ID 0941266415, 7 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 100
Cranston, RI 02920-6074
Phone 401946240020

209 - 211 Armistice Blvd
Pawtucket, RI 02860-3242
Phone (401) 725-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO487RIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Treatment Center, Inc. CurrentSince Dec 23, 2023 Accepting new patients
Mdri LLC CurrentSince Jul 27, 2026 Accepting new patients

Locations

1150 Reservoir Ave
Ste 100
Cranston, RI 02920
Phone (401) 946-2400

1239 Hartford Ave
Ste 3
Johnston, RI 02919
Phone (401) 209-1730

1239 Hartford Ave
Ste 3B
Johnston, RI 02919
Phone (401) 209-1760

2 Wake Robin Rd
Ste 205
Lincoln, RI 02865
Phone (401) 333-9044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1528085289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE ROAD",
            "address_2": "SUITE 301",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864411",
            "telephone_number": "401-739-2984",
            "fax_number": "401-739-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-739-2984",
            "fax_number": "401-739-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZA",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "DO487",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "DO00487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.