Active NPI
Charles T Zito Jr., PA
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1619993912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840277
- Practice address
- 4092 Foxwood Dr
Suite 101
Virginia Beach, VA 23462-5225 - Phone
- (757) 467-4200
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840277 | VA | Primary |
Addresses
Primary practice location
4092 Foxwood Dr
Suite 101
Virginia Beach, VA 23462-5225
Mailing address
3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278239 | Other | VA | ANTHEM |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840277 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619993912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 WESTERN BRANCH BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215260",
"telephone_number": "757-686-3507",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4092 FOXWOOD DR",
"address_2": "SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625225",
"telephone_number": "757-467-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITO",
"first_name": "CHARLES",
"middle_name": "T",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "278239",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.