Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Ditkowsky, MD

Individual provider Emergency Medicine Physician · NPI 1992236392

Jared Ditkowsky, MD is an Emergency Medicine Physician in Hackensack, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave-Levy Place, New York, NY 10029 — (516) 749-3681

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA11037600 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992236392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address3600 Route 66, Fl 3, Neptune, NJ 07753-2645

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