Healthcare Provider Details

I. General information

NPI: 1275167330
Provider Name (Legal Business Name): CHRISTOPHER ZITO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SUMMIT AVE
HACKENSACK NJ
07601-1262
US

IV. Provider business mailing address

34 DINALLO ST
SOUTH HACKENSACK NJ
07606-1403
US

V. Phone/Fax

Practice location:
  • Phone: 201-584-9827
  • Fax:
Mailing address:
  • Phone: 201-742-3339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: