Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vincent Vizzo, PA

Individual provider Physician Assistant · NPI 1316260714

Vincent Vizzo, PA is a Physician Assistant in Smithtown, New York. Qualified in 2009, 17 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

290 E Main St Ste 200
Smithtown, NY 11787-2916
Phone: (631) 361-5302
Fax: (631) 361-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013939 (NY)

Record details

NPI number1316260714
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 12, 2010
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021
Mailing address290 E Main St Ste 200, Smithtown, NY 11787-2916

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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