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LISA BETH DITCHEK MD
NPI 1043779051
Pediatrics - Adolescent Medicine in New York, NY

Active since March 19, 2019PECOS Enrolled
320 E 94TH ST, NEW YORK, NY 10128(212) 423-3000 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2020, Mar 19, 2019 (2 updates tracked since 2019).

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

NPI1043779051
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameLISA BETH DITCHEKCredential: MD
Location Address320 E 94TH STNew York, NY 10128-5604
Mailing Address320 E 94th StNew York, NY 10128-5604 · (212) 423-3000
Phone(212) 423-3000
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1043779051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 315289
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
320 E 94TH ST, New York, NY 10128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Beth Ditchek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Ditchek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan
10 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Mmc Pediatrics Faculty Practice
12 mi
Pediatrics
6010 BAY PKWY STE 902
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
NPI 1285648154 (718) 283-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

THE ST. LUKES ROOSEVELT HOSPITAL CENTER
Case Management
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 241-3257
JAIME LEE BEDARD LCSW
Social Worker (Clinical)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2050
MR. ZACHARY SPENCE FRIED LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2927
JACQUELINE STRAND LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 501-1276
DR. JULIE NAGPAL M.D.
Pediatrics (Adolescent Medicine)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 731-7576
DANIELLA ANTOLOS PHARMD
Pharmacist
320 E 94TH ST
NEW YORK, NY 10128
New York County (347) 415-7954
MS. MICHELE GREEN PHYSICIAN ASSISTANT
Physician Assistant
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2875
AMANDA MARIE VANIC
Pharmacist
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 241-6500

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.

Which organizations bill Medicare for Lisa Ditchek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ditchek reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Mmc Pediatrics Faculty Practice (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Ditchek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.