Paul V Rizzo, DDS
Individual provider Active NPI Dentist · Warrensburg, NY
NPI 1821005232 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1821005232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 044141 (NY)
- Practice address
- 3761 Main St
Warrensburg, NY 12885-1837 - Phone
- (518) 623-3918
- Fax
- (518) 623-4330
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110121000561 | NY | Practitioner - Dentist |
6406035542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044141 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Current |
Accepting new patients | |
| Hudson Headwaters Health Network | Current | Accepting new patients | |
| Hudson Headwaters Health Network | Current |
Accepting new patients |
Locations
9 Carey Rd
Queensbury, NY 12804
3761 Main St
Warrensburg, NY 12885
Phone (518) 623-2993
Interoperability endpoints
- paul.rizzo.1@1823.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044141 | NY | Yes |
Addresses
Primary practice location
3761 Main St
Warrensburg, NY 12885-1837
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03362241 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.rizzo.1@1823.direct.athenahealth.com |
Other providers in Warrensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.