Active NPIIndividual provider

Alan M Dietzek, MD

Healthcare Provider in Neptune, New Jersey

NPI Number1134160435
Practice location
19 Davis Ave Fl 4, Neptune, NJ 07753-4488
Fax
732-922-2026
Last updated
June 16, 2025

Alan Merrill Dietzek is a Healthcare Provider based in Neptune, NJ. Alan Merrill Dietzek practices in Neptune, NJ and has the professional credentials of MD. The NPI Number for Alan Merrill Dietzek is 1134160435 and holds a License No. 038845 (CT). The current practice location address for Alan Merrill Dietzek is 19 Davis Ave Fl 4, Neptune, NJ 07753-4488 and can be reached out via phone at 732-212-6598 and via fax at 732-922-2026.

Provider Profile Details

NPI Number
1134160435
Provider Name
Alan Merrill Dietzek
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 Davis Ave Fl 4, Neptune, NJ 07753-4488
Phone Number
732-212-6598
Fax Number
732-922-2026
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2006
Last Update Date
June 16, 2025
Certification Date
June 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Davis Ave Fl 4
Neptune, NJ 07753-4488
Zip
07753-4488
Phone Number
732-212-6598
Fax Number
732-922-2026
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792
Phone Number
732-807-0877
Fax Number
201-751-1680

License Information

License Number (1)
038845
License State (1)
CT
Taxonomy (1)
· 2086S0129X
License Number (2)
25MA09413600
License State (2)
NJ
Taxonomy (2)
· 2086S0129X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alan M Dietzek, MD?

The NPI number of Alan M Dietzek, MD is 1134160435. It was assigned on June 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Alan M Dietzek, MD?

Alan M Dietzek, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in CT under license number 038845.

Where does Alan M Dietzek, MD practice?

The practice location is 19 Davis Ave Fl 4, Neptune, NJ 07753-4488. The office can be reached at 732-212-6598 (phone) or 732-922-2026 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134160435 directly on the NPPES registry website.

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