Mr Russell K Ditchfield-agboh, PT - Physical Therapist in Montclair, NJ

Mr Russell K Ditchfield-agboh, PT is a Physical Therapist based in Montclair, New Jersey. Mr Russell K Ditchfield-agboh is licensed to practice in New Jersey (license number 40QA00938000) and his current practice location is 141 Walnut St Apt 2, Montclair, New Jersey. He can be reached at his office (for appointments etc.) via phone at (201) 888-0444.

NPI number for Mr Russell K Ditchfield-agboh is 1487905444 and his current mailing address is 141 Walnut St Apt 2, Montclair, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487905444.

Contact Information

Mr Russell K Ditchfield-agboh, PT
141 Walnut St Apt 2,
Montclair, NJ 07042-3885
(201) 888-0444
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Russell K Ditchfield-agboh
GenderMale
SpecialityPhysical Therapist
Location141 Walnut St Apt 2, Montclair, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487905444
  • Provider Enumeration Date: 09/30/2012
  • Last Update Date: 09/30/2012

Medical Identifiers

Medical identifiers for Mr Russell K Ditchfield-agboh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487905444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 40QA00938000 (New Jersey)Primary

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. Mr Russell K Ditchfield-agboh 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
Mr Russell K Ditchfield-agboh, PT
141 Walnut St Apt 2,
Montclair, NJ 07042-3885

Ph: (201) 888-0444
Mr Russell K Ditchfield-agboh, PT
141 Walnut St Apt 2,
Montclair, NJ 07042-3885

Ph: (201) 888-0444

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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