DR. MARIUS KILLIAN NIKOLAS DITURSI M.D. PH.D. NPI 1477787612

NPI Information

  • NPI: 1477787612
  • Provider Name: DR. MARIUS KILLIAN NIKOLAS DITURSI, M.D., PH.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1495 15TH ST
    TROY, NY
    ZIP 12180
  • Phone: (518) 810-4680

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NPI Details

DR. Marius Killian Nikolas Ditursi, M.D., PH.D. is a pediatrics in Troy, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Marius Killian Nikolas Ditursi, M.D., PH.D. NPI is 1477787612. The provider is registered as an individual entity type.

The provider's business location address is:

1495 15TH ST
TROY, NY
ZIP 12180-302
Phone: (518) 810-4680

The NPI 1477787612 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 enumeration date for this NPI number is 5/1/2009 and was last updated on 4/17/2025.

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
1208000000XPediatrics263723NEW YORKYes

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
103519624MEDICAIDNEW YORK

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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