Laddis, Dimitri

Laddis, Dimitri is an individual health care provider with primary practice located at 481 S Washington Ave , Bergenfield NJ 07621-4313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Laddis, Dimitri can be contacted via phone (201) 875-2454.

Contact Information

Primary practice address
481 S Washington Ave Bergenfield NJ 07621-4313
Phone: (201) 875-2454
Fax: (732) 707-5001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2288751 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 228875 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 25MA10557500 New Jersey

Profile Details

NPI number 1760415384
LBN Legal business name Laddis, Dimitri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jun 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760415384 NPPES
New Jersey Other 25MA10557500 NEW JERSEY LICENSE
New Jersey MEDICAID 02461127 NEW JERSEY LICENSE

Popular Providers