Alita Logrono Dizon, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA06172900 Issued in NJ

Practice address

377 Jersey Ave
Suite 460
Jersey City, NJ 07302-4325

Phone

(201) 332-4110

Fax

(201) 332-4122

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Family Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1417967456
  Medicare reassignment NPD
• Metropolitan Family Health Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1982846879
  NPD
• Central Medical Associates LLC

  • Ph.D. Medical Genetics
  • Jersey City, NJ
  • NPI 1780737312
  NPD (past)
• Jersey Healthcare Services PC

  • Infectious Disease Physician
  • Jersey City, NJ
  • NPI 1336586957
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1003926932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 460",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024325",
            "telephone_number": "201-332-4110",
            "fax_number": "201-332-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 460",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024325",
            "telephone_number": "201-332-4110",
            "fax_number": "201-332-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "ALITA",
        "middle_name": "LOGRONO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA06172900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2673595",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2702975014",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "41N14",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "23165",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5097587",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1067339",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7437901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21149154242",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2702975016",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Giorgio T Divincenzo, DMD
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• Divinecare Physical Therapy LLC
• Lucy Elizabeth Dixon, RN, IBCLC
• Denver Dizon
• Melissa I Dizon, RPH, PHARMD
• Dmitry Khasak MD PC Inc
• Doctor'S Medical Clinic PA
• Divya Dodhia, LCSW

• Gastroenterology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.