Janice Dittelman, MASTER OF SCIENCE

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00403600 Issued in NJ

Practice address

1515 Broad St
Bloomfield, NJ 07003-3002

Phone

(973) 655-7752

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1700384823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 VICTOR WAY",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811807",
            "telephone_number": "201-560-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033002",
            "telephone_number": "973-655-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTELMAN",
        "first_name": "JANICE",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00403600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ding, M.D.
• Kevin Dishon, PT, DPT
• Joseph M. Distefano, D.M.D.
• Joseph S. Distefano, DMD
• Jonathan W. Ditkoff, M.D.
• Divine Aid Services
• Michael John Dobransky, D.O.
• Christopher Dolan
• Sandra Dolcine, COTA
• Don a Jannicelli, PT (Bloomfield Inst Phy Therapy)

• Speech-Language Pathologist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.