Individual provider Active NPI

Diane Beth Ritter, M.D., M.P.H.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1356428403
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
155078 Issued in NY
Practice address
33 W 125TH St
Harlem Medical Group
New York, NY 10027-4512
Phone
(212) 289-5795
Fax
(212) 410-4424
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 155078 NY Primary

Addresses

Primary practice location

33 W 125TH St
Harlem Medical Group
New York, NY 10027-4512

Mailing address

4051 Estancia Way
Melbourne, FL 32934-8709
Phone (914) 325-8000

Other identifiers 1

IdentifierTypeStateIssuer
0015507808MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000893 NY Practitioner - Obstetrics/Gynecology 5294859971 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Practice Plan PC CurrentSince Mar 1, 2020 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Harlem Medical Group, PC CurrentSince Jul 1, 2012 Accepting new patients
Doctor Medical of Ny PC Past Accepting new patients

Locations

392 Bedford Park Blvd
Bronx, NY 10458
Phone (718) 364-0100

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

354 Fort Washington Ave
New York, NY 10033
Phone (212) 781-0100

33 W 125th St
New York, NY 10027
Phone (212) 289-5795

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1356428403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 ESTANCIA WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348709",
            "telephone_number": "914-325-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 125TH ST",
            "address_2": "HARLEM MEDICAL GROUP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274512",
            "telephone_number": "212-289-5795",
            "fax_number": "212-410-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "DIANE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "155078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015507808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.