Organization Active NPI

R Replogle and F Dittmar PTR

  • Podiatrist
  • West Babylon, NY
National Provider Identifier
1093907651
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004074 Issued in NY
Legal business name
R REPLOGLE AND F DITTMAR PTR
Practice address
578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone
(631) 893-7030
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank Dittmar, D.P.M.NPI 1407919673
Title
General Partner
Phone
(631) 893-7030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004074 NY Primary

Addresses

Primary practice location

578 Sunrise Hwy
West Babylon, NY 11704-6003

Mailing address

578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 893-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000776 NY Part B Supplier - Clinic/Group Practice 6901798115 Receives reassigned benefits from 2 practitioners
Practice locations: Farmingville, NY; West Babylon, NY

National Provider Directory

National Provider Directory

Locations

1025 Portion Rd
Farmingville, NY 11738
Phone (631) 696-0100

1025 Portion Rd
Ste 3
Farmingville, NY 11738
Phone (631) 696-1856

578 Sunrise Hwy
West Babylon, NY 11704
Phone (631) 696-1856

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1093907651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-893-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046003",
            "telephone_number": "631-893-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R REPLOGLE AND F DITTMAR PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "DITTMAR",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "631-893-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.