Active NPI
Eric Daiter, M.D.
- Reproductive Endocrinology Physician
- Edison, NJ
National Provider Identifier
1184724957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 25MA06037400
- Practice address
- 34-36 Progress St
Suite B4
Edison, NJ 08820-1197 - Phone
- (908) 226-0250
- Fax
- (908) 226-0830
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 25MA06037400 | NJ | Primary |
Addresses
Primary practice location
34-36 Progress St
Suite B4
Edison, NJ 08820-1197
Mailing address
34-36 Progress St
Suite B4
Edison, NJ 08820-1197
Phone (908) 226-0250
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6175503 | Medicaid | NJ | |
| MA53294 | Other | NJ | PIN (MDC) |
| 505215 | Other | NJ | AETNA INSURANCE COMPANY |
| 2K9762 | Other | NJ | HEALTHNET INSURANCE COMPA |
| 0204670 | Other | NJ | GHI INSURANCE COMPANY |
| P748760 | Other | NJ | OXFORD INSURANCE COMPANY |
| 0064156000 | Other | NJ | AMERIHEALTH INSURANCE COM |
| DA766331 | Other | NJ | EMPIRE MEDICARE INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06037400 | NJ | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1184724957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34-36 PROGRESS ST",
"address_2": "SUITE B4",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201197",
"telephone_number": "908-226-0250",
"fax_number": "908-226-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34-36 PROGRESS ST",
"address_2": "SUITE B4",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201197",
"telephone_number": "908-226-0250",
"fax_number": "908-226-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAITER",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NJ",
"license": "25MA06037400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6175503",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN (MDC)",
"identifier": "MA53294",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE COMPANY",
"identifier": "505215",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET INSURANCE COMPA",
"identifier": "2K9762",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI INSURANCE COMPANY",
"identifier": "0204670",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE COMPANY",
"identifier": "P748760",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH INSURANCE COM",
"identifier": "0064156000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE INSURANCE",
"identifier": "DA766331",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.