THEODORE DIKTABAN (NPI# 1194811331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194811331 |
| Entity Type | Individual |
| Full Name | THEODORE DIKTABAN |
| Credential | MD |
| Practice Address |
911 Park Ave Suite 1a New York NY 10075-0337 |
| Practice Telephone | 2129885656 |
| Practice Fax Number | 2122888303 |
| Mailing Telephone | 2129885656 |
| Mailing Fax Number | 2122888303 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
131434 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00773946 | 05 |
| Street Address |
911 PARK AVE SUITE 1A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124001151 | Zeev Stegman | Ophthalmology | 911 Park Ave, Ground Floor, New York, NY 10021-0337 | 2005-11-23 |
| 1972104487 | Hye Jin Cha | Registered Nurse | 911 Park Ave, New York, NY 10075-0385 | 2020-11-03 |
| 1851857940 | Margaret Schifano | Emergency Medicine | 911 Park Ave, New York, NY 10075-0385 | 2019-02-14 |
| 1053829770 | Stewart G Eidelson Md Pllc | Orthopaedic Surgery | 911 Park Ave, New York, NY 10075-0385 | 2018-01-16 |
| 1952826018 | Christine Marie Steffano | Nurse Practitioner | 911 Park Ave, New York, NY 10075-0385 | 2017-08-10 |
| 1124472162 | Gabriela Marie Soza | Dermatology | 911 Park Ave, New York, NY 10075-0385 | 2016-04-15 |
| 1629329099 | Monique Olivares | Physician Assistant | 911 Park Ave, New York, NY 10075-0385 | 2012-09-26 |
| 1083976567 | Judy Farber | Physician Assistant | 911 Park Ave, Suite 1a, New York, NY 10075-0385 | 2012-06-11 |
| 1730456005 | Joelle Koplin | Registered Nurse | 911 Park Ave, New York, NY 10075-0385 | 2011-11-30 |
| 1558677716 | Mara Pulcheri | Internal Medicine | 911 Park Ave, 1b, New York, NY 10075-0385 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1497902597 | Colleen M Mccarthy | Surgery | 1275 York Ave Rm Mri-1007, New York, NY 10065-6007 | 2008-08-20 |
| 1043472368 | Nilay R Shah | Surgery | 330 E 38th St Apt 20o, New York, NY 10016-0358 | 2008-06-27 |
| 1942467543 | Peter William Henderson | Surgery | 10 Union Sq E Frnt 2l, New York, NY 10003-3314 | 2008-05-21 |
| 1790950343 | Michael E Jones Md PC | Surgery | 120 East 61st Street, New York, NY 10021 | 2008-04-24 |
| 1679755334 | Craig Andrew Baldenhofer | Surgery | 115 W 27th St Ste 1001, New York, NY 10001-6217 | 2007-12-04 |
| 1942415682 | Reconstructive Surgery Offices, P.C. | Surgery | 1001 Fifth Ave, New York, NY 10028 | 2007-05-14 |
| 1518182252 | Pamela Renee Lipkin | Surgery | 905 Fifth Ave., Suite 1c, New York, NY 10021 | 2007-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.