Theodore Diktaban, MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

131434 Issued in NY

Legal business name

THEODORE DIKTABAN, MD PLLC

Practice address

1016 5TH Ave
New York, NY 10028-0132

Phone

(212) 988-5656

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Leone

Title

Office Managaer

Phone

(212) 988-5656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1922391697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132",
            "telephone_number": "212-988-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE DIKTABAN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGAER",
        "authorized_official_telephone_number": "212-988-5656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "131434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Then
• Michelle Then
• Shirley Zair Then, NP-BC, NP-C
• Sthefanie Then, LMSW
• Theo E. Obrig, Inc.
• Theodore Tyberg MD
• Theodore W Lieberman MD PC
• Araceli Theodore
• Deborah Anne Theodore
• John L. Theodore, PH.D.

• 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 May 27, 2011; 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.