IndividualActive
Jeremy Ditelberg, M.D.
NPI 1629037148 · Anatomic Pathology & Clinical Pathology Physician · Newton, MA
Provider details
- NPI number
- 1629037148
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 159430 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Needham Street
Suite 200
Newton, MA 02464
Phone: (617) 969-4100
Fax: (617) 969-3393
Street-level locationGet directions
Mailing address
Po Box 840294
Dallas, TX 75284-0294
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2013-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.