| Dr Jonathan W Ditkoff, MD | |
|
108 Broughton Ave, Bloomfield, NJ 07003-3989 | |
| (973) 743-1331 | |
| (973) 743-6577 |
| Full Name | Dr Jonathan W Ditkoff |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 36 Years |
| Location | 108 Broughton Ave, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386600823 | NPI | - | NPPES |
| 6206000 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 25MA06086100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Centers Of America Llc | 7315125184 | 92 |
| Entity Name | Eye Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649563636 PECOS PAC ID: 7315125184 Enrollment ID: O20110627000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan W Ditkoff, MD 1 Corporate Dr, Wayne, NJ 07470-3112 Ph: (973) 987-3380 | Dr Jonathan W Ditkoff, MD 108 Broughton Ave, Bloomfield, NJ 07003-3989 Ph: (973) 743-1331 |
Lauren Angioletti, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Ste 104, Bloomfield, NJ 07003 Phone: 973-707-5632 Fax: 973-707-7349 | |
Joshua M Gould, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 | |
Dr. Devang Laxmikant Bhoiwala, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 Fax: 973-743-6577 | |
Dr. S Jerome Holtz, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 Fax: 973-743-6577 | |
Dr. Patrick M. Higgins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Ste 104, Bloomfield, NJ 07003 Phone: 973-707-5632 Fax: 973-707-7349 | |
Anthony Peter Damato, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 199 Broad St, Suite 2b, Bloomfield, NJ 07003 Phone: 973-748-3300 Fax: 973-748-3802 |