Individual provider Active NPI

John Joseph Danyo Jr., MD

  • Plastic Surgery Physician
  • Wilmington, DE
National Provider Identifier
1063438604
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C10005578 Issued in DE
Practice address
4001 Kennett Pike Ste 234
Wilmington, DE 19807-2029
Phone
(302) 888-0508
Fax
(302) 888-0509
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C10005578 DE Primary

Addresses

Primary practice location

4001 Kennett Pike Ste 234
Wilmington, DE 19807-2029

Mailing address

4001 Kennett Pike Ste 234
Wilmington, DE 19807-2029
Phone (302) 888-0508

Other identifiers 1

IdentifierTypeStateIssuer
0000939701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20120516000431 DE Practitioner - Plastic and Reconstructive Surgery 9830352541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4001 Kennett Pike
Suite 234
Wilmington, DE 19807-2029
Phone (302) 888-0508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10005578DEMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Joseph Danyo Jr, M.D. CurrentSince Apr 3, 2012 Accepting new patients
Jillian E Banbury MD PA Plastic Surgery Past Accepting new patients

Locations

3701 Kennett Pike
Ste 400B
Wilmington, DE 19807
Phone (302) 888-0508

4001 Kennett Pike
Ste 234
Wilmington, DE 19807
Phone (302) 888-0508

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1063438604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE STE 234",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072029",
            "telephone_number": "302-888-0508",
            "fax_number": "302-888-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE STE 234",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072029",
            "telephone_number": "302-888-0508",
            "fax_number": "302-888-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANYO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "C10005578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000939701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.