Active NPI
Frank Dittmar, D.P.M.
- Primary Podiatric Medicine Podiatrist
- West Babylon, NY
National Provider Identifier
1407919673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N004074
- Practice address
- 578 E Sunrise Highway
West Babylon, NY 11704-6003 - Phone
- (631) 893-7030
- Fax
- (631) 893-7066
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004074 | NY | Primary |
Addresses
Primary practice location
578 E Sunrise Highway
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
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
578 Sunrise Hwy
West Babylon, NY 11704-6003
Phone (631) 893-7030
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 831 |
| Removal or shaving of skin growth | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004074 | NY | MD | Primary Podiatric Medicine Podiatrist |
| 004074 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Replogle and F Dittmar PTR | Primary Podiatric Medicine | Current | Accepting new patients |
Locations
1025 Portion Rd
Ste E
Farmingville, NY 11738
Phone (631) 696-6666
578 Sunrise Hwy
West Babylon, NY 11704
Phone (631) 696-1856
Organizations & group practices 1
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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1407919673",
"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",
"fax_number": "631-893-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 E SUNRISE HIGHWAY",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046003",
"telephone_number": "631-893-7030",
"fax_number": "631-893-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAR",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"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 Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.