Ditmas Heights Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DITMAS HEIGHTS GASTROENTEROLOGY PC

Practice address

1111 Ocean Ave
Brooklyn, NY 11230-2039

Phone

(718) 975-3369

Fax

(718) 228-9887

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Sam Weissman, MD

Title

Owner

Phone

(718) 975-3369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1568912145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302039",
            "telephone_number": "718-975-3369",
            "fax_number": "718-228-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302039",
            "telephone_number": "718-975-3369",
            "fax_number": "718-228-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITMAS HEIGHTS GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-975-3369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Distler
• Waleed Inayat M. M. Allah Dita, M.D.
• Lauren Ditch
• Alan Ditchek, MD
• Stuart Howard Ditchek, M.D.
• Ditmas Park Adult Day Care LLC
• Ditmas Park Dental, PC
• Ditmas Park Dialysis Center LLC
• Ditmas Park Pharmacy Inc
• Ditmas Park Rehabilitation & Care Center LLC

• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.