Active NPI
Noah Gabriel Ditkofsky, MD FRCPC
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1073954236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 255662
- Practice address
- 550 Peachtree St NE
Emory University Hospital Midtown, Dept. of Radiology
Atlanta, GA 30308-2208 - Phone
- (404) 686-5612
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 255662 | MA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 71917 | GA |
Addresses
Primary practice location
550 Peachtree St NE
Emory University Hospital Midtown, Dept. of Radiology
Atlanta, GA 30308-2208
Mailing address
550 Peachtree St NE
Emory University Hospital Midtown, Dept. of Radiology
Atlanta, GA 30308-2208
Phone (404) 686-5612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255662 | MA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1073954236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "EMORY UNIVERSITY HOSPITAL MIDTOWN, DEPT. OF RADIOLOGY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-686-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "EMORY UNIVERSITY HOSPITAL MIDTOWN, DEPT. OF RADIOLOGY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-686-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITKOFSKY",
"first_name": "NOAH",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "MD FRCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "255662",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "71917",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.