MEDICARE: ANTHONY J RIZZETTA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB06006800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01097434	OTHER	NJ	RAILROAD MEDICARE
5	P00730435	OTHER	NJ	RR MEDICARE (CAPE)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	0739807000	OTHER	AMERIHEALTH
3	1036538	OTHER	HORIZON NJ HEALTH
4	P380303	OTHER	OXFORD HEALTH PLANS
6	1980137	OTHER	UNITED HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487618427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J RIZZETTA DO

Provider Business Mailing Address
First Line	:	1 EAST NEW YORK AVE.
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-0593
Country	:	US
Telephone Number	:	609-653-3500
Fax Number	:	609-926-4311

Provider Business Practice Location Address
First Line	:	1 EAST NEW YORK AVE
Second Line	:	SHORE PHYSICIANS
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-0000
Country	:	US
Telephone Number	:	609-653-3500
Fax Number	:	609-926-4311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	01/10/2020

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Directions to “ ANTHONY J RIZZETTA DO” Practice Location

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