Individual provider Active NPI

Johannes Leen Dikken, MD PHD

  • Surgical Oncology Physician
  • New York, NY
National Provider Identifier
1841847175
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
P101497 Issued in NY
Practice address
1233 York Ave Apt 20N
New York, NY 10065-6342
Phone
(929) 505-4238
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X P101497 NY Primary

Addresses

Primary practice location

1233 York Ave Apt 20N
New York, NY 10065-6342

Mailing address

1233 York Ave Apt 20N
New York, NY 10065-6342
Phone (929) 505-4238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dikkenj@mskcc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P101497NYMDSurgical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1841847175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 YORK AVE APT 20N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656342",
            "telephone_number": "929-505-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 YORK AVE APT 20N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656342",
            "telephone_number": "929-505-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKKEN",
        "first_name": "JOHANNES",
        "middle_name": "LEEN",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "P101497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dikkenj@mskcc.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "1233 York Ave Apt 20N",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100656342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.