ALAN MERRILL DIETZEK M.D. NPI 1134160435

NPI Information

  • NPI: 1134160435
  • Provider Name: ALAN MERRILL DIETZEK, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 DAVIS AVE FL 4
    NEPTUNE, NJ
    ZIP 07753
  • Phone: (732) 212-6598

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NPI Details

Alan Merrill Dietzek, M.D. is a vascular surgery surgery in Neptune, NJ with 43 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Alan Merrill Dietzek, M.D. NPI is 1134160435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

19 DAVIS AVE FL 4
NEPTUNE, NJ
ZIP 07753-488
Phone: (732) 212-6598
Fax: (732) 922-2026

The NPI 1134160435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 6/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery038845CONNECTICUTNo
22086S0129XSurgeryVascular Surgery25MA09413600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10V7532OTHERCONNECTICUTHEALTH NET
2830396OTHERCONNECTICUTUNITED HEALTHCARE
3AS1058OTHERCONNECTICUTOXFORD
4P00230453OTHERCONNECTICUTRAILROAD MEDICARE
5810160110OTHERCONNECTICUTPHCS
68897122OTHERCONNECTICUTCIGNA
72372975OTHERCONNECTICUTAETNA US HEALTHCARE
81388455MEDICAIDCONNECTICUT
9038845OTHERCONNECTICUTCONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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