Dr. Jonathan W Ditkoff, MD
Ophthalmology in Bloomfield, New Jersey
1386600823- Practice location
- 108 Broughton Ave, Bloomfield, NJ 07003-3989
- Phone
- 973-743-1331
- Fax
- 973-743-6577
- Last updated
- March 16, 2022
Jonathan W. Ditkoff is an Ophthalmology based in Bloomfield, NJ. Jonathan W. Ditkoff practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Jonathan W. Ditkoff is 1386600823 and holds a License No. 25MA06086100 (NJ). The current practice location address for Jonathan W. Ditkoff is 108 Broughton Ave, Bloomfield, NJ 07003-3989 and can be reached out via phone at 973-743-1331 and via fax at 973-743-6577.
Provider Profile Details
- NPI Number
- 1386600823
- Provider Name
- Jonathan W. Ditkoff
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 108 Broughton Ave, Bloomfield, NJ 07003-3989
- Phone Number
- 973-743-1331
- Fax Number
- 973-743-6577
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2006
- Last Update Date
- March 16, 2022
- Certification Date
- March 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Broughton Ave
Bloomfield, NJ 07003-3989 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3989
- Phone Number
- 973-743-1331
- Fax Number
- 973-743-6577
Provider Business Mailing Address Details
- Address
- 1 Corporate Dr
Wayne, NJ 07470-3112 - City
- Wayne
- State
- NJ
- Zip
- 07470-3112
- Phone Number
- 973-987-3380
- Fax Number
- 866-806-3675
License Information
- License Number
- 25MA06086100
- License State
- NJ
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Jonathan W Ditkoff, MD?
The NPI number of Dr. Jonathan W Ditkoff, MD is 1386600823. It was assigned on April 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan W Ditkoff, MD?
Dr. Jonathan W Ditkoff, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA06086100.
Where does Dr. Jonathan W Ditkoff, MD practice?
The practice location is 108 Broughton Ave, Bloomfield, NJ 07003-3989. The office can be reached at 973-743-1331 (phone) or 973-743-6577 (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 1386600823 directly on the NPPES registry website.