Edwin A Deitch, MD - Surgery in Newark, NJ

Edwin A Deitch, MD is a Surgery physician based in Newark, New Jersey. Edwin A Deitch is licensed to practice in New Jersey (license number 25MA06045100) and his current practice location is 90 Bergen St, Doc 7100, Newark, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 972-2400.

NPI number for Edwin A Deitch is 1841218088 and his current mailing address is 30 Bergen St, Admc 12 1205, Newark, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841218088.

Contact Information

Edwin A Deitch, MD
90 Bergen St, Doc 7100,
Newark, NJ 07103-2425
(973) 972-2400
(973) 972-2988

Map and Direction




Physician's Profile

Full NameEdwin A Deitch
GenderMale
SpecialitySurgery
Location90 Bergen St, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841218088
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 08/21/2009

Medical Identifiers

Medical identifiers for Edwin A Deitch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841218088NPI-NPPES
6188508MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 25MA06045100 (New Jersey)Primary
2086S0102XSurgery - Surgical Critical Care 25MA06045100 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edwin A Deitch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edwin A Deitch, MD
30 Bergen St, Admc 12 1205,
Newark, NJ 07107-3000

Ph: () -
Edwin A Deitch, MD
90 Bergen St, Doc 7100,
Newark, NJ 07103-2425

Ph: (973) 972-2400

Reviews and Comments


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