Provider Demographics
NPI:1043205081
Name:ZITO, FREDERICK J (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:J
Last Name:ZITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 RIVERVIEW PLZ
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1863
Mailing Address - Country:US
Mailing Address - Phone:732-747-1429
Mailing Address - Fax:732-747-4778
Practice Address - Street 1:6 RIVERVIEW PLZ
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1863
Practice Address - Country:US
Practice Address - Phone:732-747-1429
Practice Address - Fax:732-747-4778
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA623472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ651U31OtherWELLCHOICE
NJ808832OtherUSA MANAGED CARE
NJ19202OtherAMERIGROUP
NJ0005265565OtherAETNA POS
NJ1051293OtherHORIZON/MERCY
NJ0141743000OtherAMERIHEALTH
NJ3628833OtherAETNA HMO
NJ4934617-004OtherCIGNA
NJ4099588OtherGHI
NJP00053555OtherRR MEDICARE
NJ0733756OtherAETNA HMO
NJ7292503Medicaid
NJ3628833OtherAETNA HMO
NJ0005265565OtherAETNA POS
NJ0733756OtherAETNA HMO