Active NPI
Joseph William Dituro, M.D. N.D. B.C.I.M.
- Critical Care Medicine (Internal Medicine) Physician
- East Rutherford, NJ
National Provider Identifier
1194871459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 25MA04281900
- Practice address
- 242 Paterson Ave
East Rutherford, NJ 07073-1792 - Phone
- (201) 460-0302
- Fax
- (201) 460-0348
- NPI assigned
- Jan 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 153651-1 | NY | |
| Internal Medicine Physician | 207R00000X | 2002-0357 | NM | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA04281900 | NJ | Primary |
Addresses
Primary practice location
242 Paterson Ave
East Rutherford, NJ 07073-1792
Mailing address
242 Paterson Ave
East Rutherford, NJ 07073-1792
Phone (201) 460-0302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008408 | Medicaid | NJ |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153651-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Medical PC | Past | Accepting new patients | |
| Patient Care New Jersey, Inc. | Past | Accepting new patients | |
| Roswell Hospital Corporation | Internal Medicine | Past | Accepting new patients |
| Roswell Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
-
- Family Medicine Physician
- Cliffside Park, NJ
- NPI 1821248543
-
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1194871459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 PATERSON AVE",
"city": "EAST RUTHERFORD",
"state": "NJ",
"postal_code": "070731792",
"telephone_number": "201-460-0302",
"fax_number": "201-460-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 PATERSON AVE",
"city": "EAST RUTHERFORD",
"state": "NJ",
"postal_code": "070731792",
"telephone_number": "201-460-0302",
"fax_number": "201-460-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITURO",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D. N.D. B.C.I.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "153651-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "2002-0357",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA04281900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2008408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.