NPIMap

Individual provider Active NPI

Joseph N Dytoc, MD

  • Gastroenterology Physician
  • Rochester, NY
National Provider Identifier
1598865966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
197367-1 Issued in NY
Practice address
1561 Long Pond Road
Suite 110
Rochester, NY 14626
Phone
(585) 723-1510
Fax
(585) 723-1518
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 197367-1 NY Primary

Addresses

Primary practice location

1561 Long Pond Road
Suite 110
Rochester, NY 14626

Mailing address

1561 Long Pond Road
Suite 110
Rochester, NY 14626
Phone (585) 723-1510

Other identifiers 1

IdentifierTypeStateIssuer
01541102MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000431 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2466452214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

97 Canal Landing Blvd
Suite 4
Rochester, NY 14626-5113
Phone (585) 723-1510

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy309
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197367-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates LLP Gastroenterology Current Accepting new patients
Digestive Disease Associates, LLP Gastroenterology CurrentSince Oct 1, 1997 Accepting new patients
Newark Wayne Community Hospital Past Accepting new patients

Locations

1561 Long Pond Rd
Ste 110
Rochester, NY 14626
Phone (585) 723-1510

97 Canal Landing Blvd
Ste 4
Rochester, NY 14626
Phone (585) 723-1510

Interoperability endpoints

  • Direct secure messaging: jndytoc@ddallp.medentdirect.com
  • Direct secure messaging: jdytoc205443@direct.rochesterregional.org

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598865966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 LONG POND ROAD",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-723-1510",
            "fax_number": "585-723-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND ROAD",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-723-1510",
            "fax_number": "585-723-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYTOC",
        "first_name": "JOSEPH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "197367-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01541102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.