Individual provider Active NPI

John Pizzuti, MD

  • Student in an Organized Health Care Education/Training Program
  • Syracuse, NY
National Provider Identifier
1750730040
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
301 Prospect Ave
Medical Education
Syracuse, NY 13203-1807
Phone
(315) 448-5536
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

301 Prospect Ave
Medical Education
Syracuse, NY 13203-1807

Mailing address

301 Prospect Ave
Medical Education
Syracuse, NY 13203-1807
Phone (315) 448-5536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210303000166 NY Practitioner - Anesthesiology 8921414756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Anesthesiologists, PLLCGroup PAC ID 5799677902, 44 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4444

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Suites LLC CurrentSince Oct 3, 2022 Accepting new patients
Long Island Anesthesiologists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

Locations

369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600

623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827

210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800

510 Broadhollow Rd
Ste 100
Melville, NY 11747
Phone (631) 424-3600

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

5650 Sunrise Hwy
Sayville, NY 11782

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1750730040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "MEDICAL EDUCATION",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "MEDICAL EDUCATION",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZUTI",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.