NPIMap

Individual provider Active NPI

Anthony Vincent Zizzamia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smithtown, NY
National Provider Identifier
1801237425
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
R84546 Issued in NY
Practice address
260 E Middle Country Rd
Suite 104
Smithtown, NY 11787-2982
Phone
(631) 724-1166
NPI assigned
Jul 11, 2013
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X R84546 NY Primary

Addresses

Primary practice location

260 E Middle Country Rd
Suite 104
Smithtown, NY 11787-2982

Mailing address

260 E Middle Country Rd
Suite 104
Smithtown, NY 11787-2982
Phone (631) 724-1166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915002282 NY Practitioner - Podiatry 7416264056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marjorie C. Ravitz DPM PCGroup PAC ID 7113092180, 4 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

25 Gemini LN
Nesconset, NY 11767-1707
Phone (516) 852-8882

260 E Middle Country Rd
Suite 104
Smithtown, NY 11787-2923
Phone (631) 724-1166

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3693

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2211
Removal of skin lesions1012
Removal of nail tissue964
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006738NYMDClinical Psychologist
R84546NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie C. Ravitz DPM PC Foot & Ankle Surgery CurrentSince Aug 24, 2015 Accepting new patients
Az Podiatry PLLC Foot & Ankle Surgery CurrentSince Jun 17, 2024 Accepting new patients
Suffolk County Foot Care PLLC PastSince Sep 1, 2016 Accepting new patients

Locations

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

260 E Middle Country Rd
Ste 104
Smithtown, NY 11787
Phone (631) 724-1166

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1801237425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZAMIA",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R84546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.