Active NPI
Vincent James Zizza III, D.O.
- Urology Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DO00487
- Practice address
- 400 Bald Hill Rd
Warwick, RI 02886-1617 - Phone
- (401) 739-2984
- Fax
- (401) 739-0867
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10246 | Other | RI | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
| 794230 | Other | RI | TUFTS HEALTH PLAN |
| AA38818 | Other | RI | HARVARD PILGRIM HEALTH CARE |
| 1805526 | Other | RI | UNITED HEALTHCARE |
| 8177408002 | Other | RI | CIGNA |
| TC72651 | Medicaid | RI | |
| 7716215 | Other | RI | AETNA |
| 402643 | Other | RI | BLUE CROSS & BLUE SHIELD OF RHODE ISLAND |
| 2969061 | Other | RI | UNITED HEALTHCARE |
| DN3002 | Other | RI | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080602000886 | RI | Practitioner - Urology | 1456439298 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- 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.Armistice Urgent Care and Occupational Health, Inc.
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO487 | RI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdri LLC | Current | Accepting new patients | |
| Garden City Treatment Center, Inc. | Current | 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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cranston, RI
- NPI 1306954425
RI
-
- Urgent Care Clinic/Center
- Pawtucket, RI
- NPI 1992857403
RI
-
- Primary Care Clinic/Center
- East Greenwich, RI
- NPI 1922887157
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND",
"identifier": "10246",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "794230",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "AA38818",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1805526",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8177408002",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TC72651",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7716215",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD OF RHODE ISLAND",
"identifier": "402643",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2969061",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN3002",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.