Organization Active NPI

Diabetes Doctor LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lee, NJ
National Provider Identifier
1679550404
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETES DOCTOR LLC
Practice address
158 Linwood PLZ
Ste 318
Fort Lee, NJ 07024-3761
Phone
(201) 461-0585
Fax
(201) 461-1546
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Yair Litvin, MD
Title
Owner
Phone
(201) 461-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

158 Linwood PLZ
Ste 318
Fort Lee, NJ 07024-3761

Mailing address

158 Linwood PLZ
Ste 318
Fort Lee, NJ 07024-3761
Phone (201) 461-0585

National Provider Directory

National Provider Directory

Locations

158 Linwood Plz
Ste 318
Fort Lee, NJ 07024
Phone (201) 461-0585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1679550404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ",
            "address_2": "STE 318",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243761",
            "telephone_number": "201-461-0585",
            "fax_number": "201-461-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ",
            "address_2": "STE 318",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243761",
            "telephone_number": "201-461-0585",
            "fax_number": "201-461-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LITVIN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-461-0585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.