| Jared Ditkowsky, MD | |
|
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
| (551) 996-3614 | |
| Not Available |
| Full Name | Jared Ditkowsky |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992236392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA11037600 (New Jersey) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Ditkowsky, MD 3600 Route 66, Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877 | Jared Ditkowsky, MD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-3614 |
Dr. Paarth Raj, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Jose Deschamps, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Michael Quinn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Christine Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Etd, Hackensack, NJ 07601 Phone: 201-996-4614 Fax: 201-968-1866 | |
Dr. Leah Raguindin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Pediatric Emergency Dept, Hackensack, NJ 07601 Phone: 201-996-5430 | |
Daniel Bautista, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Dr. Malone Vincent Hill Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2331 |