Dr Dimitri Laddis, MD in Bergenfield, NJ

Dr Dimitri Laddis, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Bergenfield, New Jersey. His current practice location is 481 S Washington Ave, Bergenfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 875-2454.

Dr Dimitri Laddis is licensed to practice in New Jersey (license number 25MA10557500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760415384.

Contact Information

	Dr Dimitri Laddis, MD
	481 S Washington Ave, Bergenfield, NJ 07621-4313
	(201) 875-2454
	(732) 707-5001

Map and Direction

Physician's Profile

Full Name	Dr Dimitri Laddis
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	481 S Washington Ave, Bergenfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760415384
Provider Enumeration Date: 07/08/2006
Last Update Date: 06/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3577538370
Enrollment ID: I20040826000377

Medical Identifiers

Medical identifiers for Dr Dimitri Laddis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760415384	NPI	-	NPPES
25MA10557500	Other	NJ	NEW JERSEY LICENSE
02461127	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2288751 (New York)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	228875 (New York)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	25MA10557500 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dimitri Laddis allows following entities to bill medicare on his behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	North Shore Lij Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dimitri Laddis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dimitri Laddis, MD 31 Liberty St, Piermont, NY 10968-1207 Ph: (917) 974-7279	Dr Dimitri Laddis, MD 481 S Washington Ave, Bergenfield, NJ 07621-4313 Ph: (201) 875-2454

Reviews and Comments

Pediatrics Doctors in Bergenfield, NJ

Dina Westrich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 95 N Washington Ave, Bergenfield, NJ 07621 Phone: 201-384-0300
Juliette Quintero Solivan, Pediatrics Medicare: Medicare Enrolled Practice Location: 95 N Washington Ave, Bergenfield, NJ 07621 Phone: 201-384-0300 Fax: 201-384-9518
Dr. Shana M Kaye, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 95 N Washington Ave, Bergenfield, NJ 07621 Phone: 201-384-0300
Christine Elizabeth Costa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 95 N Washington Ave, Bergenfield, NJ 07621 Phone: 201-384-0300
Omana Reji Mathew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 167 S Washington Ave, Bergenfield, NJ 07621 Phone: 201-384-8510
John G Tolentino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Palisade Ave, Bergenfield, NJ 07621 Phone: 201-385-9810 Fax: 201-385-9812
Umar Salimi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 481 S Washington Ave, Bergenfield, NJ 07621 Phone: 201-875-2454

Dr Dimitri Laddis, MD - Medicare Pediatrics in Bergenfield, NJ