Individual provider Active NPI

Angelo Victor Rizzi, RPA C

  • Medical Physician Assistant
  • East Setauket, NY
National Provider Identifier
1992712962
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0071781 Issued in NY
Practice address
14 Technology Dr
Suite 11
East Setauket, NY 11733-3472
Phone
(631) 444-1496
Fax
(631) 444-7671
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0071781 NY Primary

Addresses

Primary practice location

14 Technology Dr
Suite 11
East Setauket, NY 11733-3472

Mailing address

14 Technology Dr
Suite 11
East Setauket, NY 11733-3472
Phone (631) 444-1496

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000888 NY Practitioner - Physician Assistant 2365400884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 422-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0071781NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jul 2, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jul 2, 2018 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

240 Jericho Tpke
Syosset, NY 11791
Phone (516) 497-7900

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

Interoperability endpoints

  • Direct secure messaging: angelorizzi@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1992712962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR",
            "address_2": "SUITE 11",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333472",
            "telephone_number": "631-444-1496",
            "fax_number": "631-444-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR",
            "address_2": "SUITE 11",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333472",
            "telephone_number": "631-444-1496",
            "fax_number": "631-444-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZI",
        "first_name": "ANGELO",
        "middle_name": "VICTOR",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0071781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.