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DR. DIMITRI LADDIS MD
NPI 1760415384
Pediatrics - Pediatric Emergency Medicine in Bergenfield, NJ

Active since July 08, 2006PECOS Enrolled
481 S WASHINGTON AVE, BERGENFIELD, NJ 07621(201) 875-2454(732) 707-5001 Get Directions Write a Review

NPPES record last updated: June 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2023, Nov 8, 2018 (2 updates tracked since 2018).

About Dr. Dimitri Laddis Md NPPES

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

DR. DIMITRI LADDIS MD (NPI 1760415384) is an individual pediatric emergency medicine provider in Bergenfield, New Jersey, licensed in New Jersey (25MA10557500) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760415384
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. DIMITRI LADDISCredential: MD
Location Address481 S WASHINGTON AVEBergenfield, NJ 07621-4313
Mailing Address31 Liberty StPiermont, NY 10968-1207 · (917) 974-7279
Phone(201) 875-2454
Fax(732) 707-5001
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateJune 18, 20232 updates tracked since enumeration
NPPES CertifiedJune 18, 2023
✔ NPI 1760415384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NJ · 25MA10557500✔ Licensed in NY · 228875
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2288751 (NY)
481 S WASHINGTON AVE, Bergenfield, NJ 07621
Open in Google Maps ↗

Other Identifiers 2

Other25MA10557500NJ · New Jersey License
Medicaid02461127NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dimitri Laddis 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEXTGENUC LLC
Pediatrics
481 S WASHINGTON AVE
BERGENFIELD, NJ 07621
Bergen County (201) 875-2454
NEXTGENUC LLC
Clinic/Center (Urgent Care)
481 S WASHINGTON AVE
BERGENFIELD, NJ 07621
Bergen County (917) 974-7279
METIN YUKSEL FNP-C
Nurse Practitioner (Family)
481 S WASHINGTON AVE
BERGENFIELD, NJ 07621
Bergen County (201) 875-2454
UMAR SALIMI M.D.
Pediatrics
481 S WASHINGTON AVE
BERGENFIELD, NJ 07621
Bergen County (201) 875-2454

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 Dimitri Laddis's NPI number?

The NPI number for Dimitri Laddis is 1760415384. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Dimitri Laddis located?

Dimitri Laddis practices at 481 S Washington Ave, Bergenfield, NJ 07621. The listed phone number is (201) 875-2454.

What is Dimitri Laddis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Dimitri Laddis enrolled in Medicare?

Yes. Dimitri Laddis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dimitri Laddis was last updated on June 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.