Active NPI
Alan Ditchek, M.D. PLLC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1265812515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 151942
- Legal business name
- ALAN DITCHEK, M.D. PLLC
- Practice address
- 2516 Ocean Ave
Brooklyn, NY 11229-3916 - Phone
- (718) 769-0444
- Fax
- (718) 769-5593
- NPI assigned
- Jun 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Ditchek, MD
- Title
- President
- Phone
- (718) 769-0444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 151942 | NY | Primary |
Addresses
Primary practice location
2516 Ocean Ave
Brooklyn, NY 11229-3916
Mailing address
2516 Ocean Ave
Brooklyn, NY 11229-3916
Phone (718) 769-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1609868827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1265812515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293916",
"telephone_number": "718-769-0444",
"fax_number": "718-769-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293916",
"telephone_number": "718-769-0444",
"fax_number": "718-769-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN DITCHEK, M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "DITCHEK",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-769-0444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "151942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.