OrganizationActive
Jack V. Diteodoro M.d,llc
NPI 1700194636 · Point of Service · Stamford, CT
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
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
90 Morgan Steet Stuite 303
Stamford, CT 06905-5436
Phone: (203) 323-6873
Approximate (ZIP-level) locationGet directions
Mailing address
90 Morgan St Ste 303
Stamford, CT 06905-5436
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 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.