Robert Roy Ditkoff, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

122358 Issued in NY

Practice address

755 Park Avenue
Suite1A
New York, NY 10021-4255

Phone

(212) 772-2800

Fax

(212) 772-9220

NPI assigned

Jan 16, 2007

Last updated

Dec 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sight Medical Doctors PLLC

  • Ophthalmology Physician
  • Hauppauge, NY
  • NPI 1487077483
  Medicare reassignment NPD
• Robert R. Ditkoff, M.D., P.C.

  dba Park Avenue Eye Institute

  • Ophthalmology Physician
  • New York, NY
  • NPI 1093905192
  Authorized official Same address or phone
• Sight Medical Doctors PLLC

  dba SightMD NY

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
  • NPI 1730040700
  NPD
• Sheldon Rabin, M.D., P.C.

  dba New York Eye Care

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1568632271
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1578614343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 PARK AVENUE",
            "address_2": "SUITE1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214255",
            "telephone_number": "212-772-2800",
            "fax_number": "212-772-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVENUE",
            "address_2": "SUITE1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214255",
            "telephone_number": "212-772-2800",
            "fax_number": "212-772-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITKOFF",
        "first_name": "ROBERT",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "122358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Jun Distler
• Peter M Distler, MD
• Lisa Beth Ditchek, MD
• Edward Ditkoff, MD
• Rebecca Ditkoff, MPH, RD, CDN
• Rebecca Ditommaso
• John Ditredici, D.O.
• Alma Ditren
• Donna Marie Ditta, M.A.,CCC-SLP
• Ikra Ditta, CASAC-T/COUNSELOR

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.