Individual provider Active NPI

Michael J Dayan, MD

  • Vascular & Interventional Radiology Physician
  • New Brunswick, NJ
National Provider Identifier
1063898567
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
304913 Issued in NY
Practice address
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone
(516) 484-6820
NPI assigned
Aug 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 25MA11191000 NJ
Vascular & Interventional Radiology Physician 2085R0204X 304913 NY Primary

Addresses

Primary practice location

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928

Mailing address

PO Box 1075
East Brunswick, NJ 08816-1075
Phone (732) 390-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210825003469 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3870998016 Reassigns benefits to 7 organizations
I20210826000457 NJ Practitioner - Diagnostic Radiology 3870998016 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
John T Mather Memorial HospitalGroup PAC ID 1254237753, shared by 6 NPIs, 176 clinicians

Practice addresses (Care Compare)

120 Ash Dr
Roslyn, NY 11576-2208
Phone (732) 390-0040

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11191000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Imaging, LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
John T. Mather Memorial Hospital Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
John T. Mather Memorial Hospital Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
John T. Mather Memorial Hospital Single Specialty Current Accepting new patients
University Radiology at Trinitas, LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
University Radiology-Atlantic, LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Empire State Radiology P C Single Specialty CurrentSince Jan 14, 2024 Accepting new patients

Locations

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1063898567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161075",
            "telephone_number": "732-390-0040",
            "fax_number": "732-955-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "516-484-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11191000",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "304913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.