CHARLES L. DIETZEK
NPI 1861545188
Surgery - Vascular Surgery in Sewell, NJ

Q: What is Charles L. Dietzek's NPI number?

The NPI number for Charles L. Dietzek is 1861545188. It was assigned to this organization in the NPPES registry on January 19, 2007.

Q: What is Charles L. Dietzek's specialty?

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

Active since January 19, 2007

543 EGG HARBOR RD, SEWELL, NJ 08080(856) 256-2063 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles L. Dietzek NPPES

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

CHARLES L. DIETZEK (NPI 1861545188) is a healthcare organization registered as a vascular surgery in Sewell, New Jersey and active in the NPI registry since January 2007. The organization lists Susan Berkowitz, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1861545188

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameCHARLES L. DIETZEK

Location Address543 EGG HARBOR RDSewell, NJ 08080-2335

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

Phone(856) 256-2063

Organization SubpartNo

Authorized OfficialSusan BerkowitzBilling Manager · (856) 309-9777

Enumeration DateJanuary 19, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1861545188 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.

543 EGG HARBOR RD, Sewell, NJ 08080

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Other Identifiers 3

Other2417720000NJ · Amerihealth

Other3947376NJ · Aetna

Medicaid0071641NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JAMES JAVIER CRNP

Nurse Practitioner (Family)

543 EGG HARBOR RD
SEWELL, NJ 08080

Gloucester County (856) 256-2063

DR. DIANA LORRAINE SADDEL D.O.

Family Medicine

543 EGG HARBOR RD
SEWELL, NJ 08080

Gloucester County (856) 256-2063

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's NPI number?

The NPI number for Charles L. Dietzek is 1861545188. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Charles L. Dietzek located?

Charles L. Dietzek is located at 543 Egg Harbor Rd, Sewell, NJ 08080. The listed phone number is (856) 256-2063.

What is Charles L. Dietzek's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles L. Dietzek was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.