Active NPI
Jonathan Dittmar
- Pharmacist
- Bath, NY
National Provider Identifier
1992037923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053910
- Practice address
- 309 W Morris St
Bath, NY 14810-1030 - Phone
- (607) 776-1282
- NPI assigned
- Feb 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053910 | NY | Primary |
Addresses
Primary practice location
309 W Morris St
Bath, NY 14810-1030
Mailing address
309 W Morris St
Bath, NY 14810-1030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053910 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1992037923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101030",
"telephone_number": "607-776-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAR",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.