Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES L DIETZEK, DO, FACOS, PC
NPI 1306905658
Surgery - Vascular Surgery in Voorhees, NJ

Q: What is Charles L Dietzek, Do, Facos, PC's NPI number?

The NPI number for Charles L Dietzek, Do, Facos, PC is 1306905658. It was assigned to this organization in the NPPES registry on December 6, 2006.

Q: What is Charles L Dietzek, Do, Facos, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since December 06, 2006

1000 WHITE HORSE RD, SUITE 703, VOORHEES, NJ 08043(856) 309-9777(856) 309-9774 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Charles L Dietzek, Do, Facos, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES L DIETZEK, DO, FACOS, PC (NPI 1306905658) is a healthcare organization registered as a vascular surgery in Voorhees, New Jersey and active in the NPI registry since December 2006. The organization lists Delores Debruce, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1306905658

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameCHARLES L DIETZEK, DO, FACOS, PC

Location Address1000 WHITE HORSE RD, SUITE 703Voorhees, NJ 08043-4406

Mailing Address1000 White Horse Rd, Suite 703Voorhees, NJ 08043-4406 · (856) 309-9777 · Fax (856) 309-9774

Phone(856) 309-9777

Fax(856) 309-9774

Organization SubpartNo

Authorized OfficialDelores DebrucePractice Manager · (856) 309-9777

Enumeration DateDecember 6, 2006

Last NPPES UpdateOctober 26, 2026

NPPES CertifiedOctober 26, 2026

✔ NPI 1306905658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1000 WHITE HORSE RD, Voorhees, NJ 08043

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles L Dietzek, Do, Facos, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Charles L Dietzek, Do, Facos, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Charles Dietzek, D.O.

Vascular Surgery

NPI 1639283344

1101 WHITE HORSE RD SUITE C
Voorhees, NJ 08043

(856) 309-9777

✔ PECOS✔ Accepts Medicare0.1 mi

Elias Fakhoury, DO

Vascular Surgery

NPI 1922448539

1101 WHITE HORSE RD
Voorhees, NJ 08043

(856) 309-8346

✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Charles L Dietzek, Do, Facos, PC's NPI number?

The NPI number for Charles L Dietzek, Do, Facos, PC is 1306905658. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Charles L Dietzek, Do, Facos, PC located?

Charles L Dietzek, Do, Facos, PC is located at 1000 White Horse Rd Suite 703, Voorhees, NJ 08043. The listed phone number is (856) 309-9777.

What is Charles L Dietzek, Do, Facos, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Charles L Dietzek, Do, Facos, PC enrolled in Medicare?

Yes. Charles L Dietzek, Do, Facos, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles L Dietzek, Do, Facos, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Vascular Surgery, reassign their Medicare billing to Charles L Dietzek, Do, Facos, PC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles L Dietzek, Do, Facos, PC was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.