1982663977 NPI number — DR. DAVID C RITTERBAND M.D.

Table of content: DR. DAVID C RITTERBAND M.D. (NPI 1982663977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982663977 NPI number — DR. DAVID C RITTERBAND M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RITTERBAND
Provider First Name:
DAVID
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982663977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 E 14TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10003-4201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-505-6550
Provider Business Mailing Address Fax Number:
212-979-1772

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 E 14TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-505-6550
Provider Business Practice Location Address Fax Number:
212-979-1772
Provider Enumeration Date:
03/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  188484 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 188484B40 . This is a "HEALTHFIRST 65 ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P560514 . This is a "OXFORD ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 561461 . This is a "AETNA USHC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7867556 . This is a "CIGNA ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: H660438 . This is a "ELDERPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1333949 . This is a "UNITED HC ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 180029520 . This is a "PALMETTO ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 79022 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 93T321 . This is a "BLUE CROSS BLUE SHIELD ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401019 . This is a "GHI ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 48483P . This is a "HIP ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01579542 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1C2535 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".