Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jack V. Diteodoro M.D,LLC

Q: What is the NPI number for Jack V. Diteodoro M.D,LLC?

The NPI for Jack V. Diteodoro M.D,LLC is 1700194636, a Type 2 (organization) record in the CMS NPPES registry.

Point of Service in Stamford, CT · enumerated 2010 · authorized official Jack Diteodoro, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700194636

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Registry record

Entity type Organization (Type 2)

Legal business name Jack V. Diteodoro M.D,LLC

Practice address 90 Morgan Steet Stuite 303, Stamford, CT, 06905

Phone (203) 323-6873

Enumeration date Sep 14, 2010

Last updated in NPPES Sep 14, 2010

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License 035558 (CT) Secondary

302R00000X Health Maintenance Organization Managed Care Organizations · License 035558 (CT) Secondary

305R00000X Preferred Provider Organization Managed Care Organizations · License 035558 (CT) Secondary

305S00000X Point of Service Managed Care Organizations · License 035558 (CT) Primary

Authorized official

Name Jack Diteodoro

Title Owner

Phone (203) 323-6873

Other identifiers

Identifier	Type	State	Issuer
001355587	Medicaid	CT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jack V. Diteodoro M.D,LLC?

The NPI for Jack V. Diteodoro M.D,LLC is 1700194636, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Jack V. Diteodoro M.D,LLC?

NPPES lists Jack Diteodoro (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-14.