LISA BETH DITCHEK MD
NPI 1043779051
Pediatrics - Adolescent Medicine in New York, NY
About Lisa Beth Ditchek Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA BETH DITCHEK MD (NPI 1043779051) is an individual adolescent medicine provider in New York, New York, licensed in New York (315289) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Beth Ditchek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Ditchek's NPI number?
The NPI number for Lisa Ditchek is 1043779051. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Lisa Ditchek located?
Lisa Ditchek practices at 320 E 94th St, New York, NY 10128. The listed phone number is (212) 423-3000.
What is Lisa Ditchek's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Lisa Ditchek enrolled in Medicare?
Yes. Lisa Ditchek is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Ditchek was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Beth Ditchek, MD · NPI 1043779051
Adolescent Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1043779051 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 315289 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 E 94TH ST, New York, NY 10128-5604
- **Phone:** (212) 423-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043779051) · Data from the CMS NPPES public registry.