THEODORE DIKTABAN, MD PLLC (NPI# 1922391697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922391697 |
| Entity Type | Organization |
| Organization Name | THEODORE DIKTABAN, MD PLLC |
| Practice Address |
1016 5th Ave New York NY 10028-0132 |
| Practice Telephone | 2129885656 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | MS. MELISSA LEONE (OFFICE MANAGAER) |
| Authorized Official Telephone | 2129885656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 131434 | NY | Other Service Providers |
| Street Address |
1016 5TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10028-0132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982655981 | Ackerman and Topilow, Md, PC | Ophthalmology | 1016 5th Ave, New York, NY 10028-0132 | 2006-05-14 |
| 1962052621 | Steven Lloyd Fisch | General Practice | 1016 5th Ave, New York, NY 10028-0132 | 2019-09-16 |
| 1568838845 | 1016 5th Ave Gynecology PC | Specialist | 1016 5th Ave, New York, NY 10028-0132 | 2015-08-20 |
| 1821489832 | New York Fertility Institute | Obstetrics & Gynecology | 1016 5th Ave, New York, NY 10028-0132 | 2015-02-12 |
| 1639461890 | Edmund Kwan PC | Specialist | 1016 5th Ave, Suite 1b, New York, NY 10028-0132 | 2011-05-06 |
| 1114223260 | Rosalinda Rubinstein Md PC | Allergy & Immunology | 1016 5th Ave, New York, NY 10028-0132 | 2011-02-08 |
| 1841437514 | Park East Plastic Surgery PC | Clinic/Center | 1016 5th Ave, Suite 1b, New York, NY 10028-0132 | 2009-01-16 |
| 1528278496 | Michele G Anzilotti | Dermatology | 1016 5th Ave, New York, NY 10028-0132 | 2007-05-22 |
| 1871650820 | John E Sherman | Plastic Surgery | 1016 5th Ave, New York, NY 10028-0132 | 2007-01-02 |
| 1578620258 | Albert L. Ackerman | Ophthalmology | 1016 5th Ave, New York, NY 10028-0132 | 2007-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256329 | Anna Holloway | Physical Therapist | 245 East 84th Street, Ground Floor, New York, NY 10028 | 2020-08-20 |
| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1235769449 | Behavioral Health of New York Psychology PC | Psychologist | 103 East 86th Street #1e, New York, NY 10028 | 2020-01-16 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1427601574 | Vasileios Bouris | Student in an Organized Health Care Education/Training Program | 152 E 84th St., Manhattan, New York, NY 10028 | 2019-07-18 |
| 1770049728 | Kinetic Kids Occupational Therapy Pllc | Occupational Therapist | 312 E 85th Street, Ba, New York, NY 10028 | 2019-02-14 |
| 1447744909 | Blueprint-nutrition P.l.l.c. | Dietitian, Registered | 345 E. 81st Street, Apt 5d, New York, NY 10028 | 2018-06-19 |
| 1073024840 | Katrina Dever | Nurse Practitioner | 12 E 86th St Ofc 4c, New York, NY 10028 | 2017-10-19 |
| 1255853610 | Alison C Baker | Social Worker | 1035 Park Avenue, #8b, New York, NY 10028 | 2017-07-07 |
| 1427411248 | Bibek Gurung | Registered Nurse | 517 E 83rd Street, Apt 3w, Ny, NY 10028 | 2016-03-30 |
| Find all providers in zip 10028 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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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.