Jack V. Diteodoro M.d,llc
NPI 1700194636 · Point of Service · Stamford, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack V. Diteodoro M.d,llc is a Point of Service organization in Stamford, CT (NPI 1700194636).
Provider details
- NPI number
- 1700194636
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jack Diteodoro, Owner(203) 323-6873
- License
- 035558 (CT)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Managed Care Organizations
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2010-09-14
Frequently asked questions
- What is Jack V. Diteodoro M.d,llc's NPI number?
- Jack V. Diteodoro M.d,llc's National Provider Identifier (NPI) is 1700194636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack V. Diteodoro M.d,llc?
- Jack V. Diteodoro M.d,llc is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Jack V. Diteodoro M.d,llc located?
- Jack V. Diteodoro M.d,llc's practice location on file with NPPES is 90 Morgan Steet Stuite 303, Stamford, CT 06905-5436.
- What is Jack V. Diteodoro M.d,llc's phone number?
- The practice phone number listed in the NPPES registry for Jack V. Diteodoro M.d,llc is (203) 323-6873.
- Does Jack V. Diteodoro M.d,llc accept Medicare?
- Jack V. Diteodoro M.d,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack V. Diteodoro M.d,llc?
- The authorized official listed on Jack V. Diteodoro M.d,llc's NPPES record is Jack Diteodoro, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack V. Diteodoro M.d,llc's NPI active?
- Yes — Jack V. Diteodoro M.d,llc's NPI (1700194636) is active in the NPPES registry as of the last update on 2010-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.