Individual provider Active NPI

Irene Quiambao Permut Swift, MD

  • Pulmonary Disease Physician
  • Newark, DE
National Provider Identifier
1275796120
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C1-0011513 Issued in DE
Practice address
4745 Ogletown-Stanton Road
Map 1, Suite 220
Newark, DE 19713-2074
Phone
(302) 368-5515
Fax
(302) 325-7056
NPI assigned
Jul 9, 2008
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA09531200 NJ
Pulmonary Disease Physician 207RP1001X 25MA09531200 NJ
Pulmonary Disease Physician 207RP1001X C1-0011513 DE Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA09531200 NJ

Addresses

Primary practice location

4745 Ogletown-Stanton Road
Map 1, Suite 220
Newark, DE 19713-2074

Mailing address

200 Hygeia Drive
CCHS Physician Contracting, Suite 2300
Newark, DE 19713-2049
Phone (856) 429-1800

Other names 1

  • Irene Quiambao Permut Former name

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
I20160201000655 DE Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4880862887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Icahn School of Medicine at Mount Sinai, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

200 Hygeia Dr
Newark, DE 19713-2049

4735 Ogletown Stanton Rd
Newark, DE 19713-2089

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0011513DEMDPulmonary Disease Physician
25MA09531200NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Critical Care Medicine CurrentSince Jan 11, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 11, 2016 Accepting new patients
Christiana Care Health Services, Inc Critical Care Medicine CurrentSince Jan 11, 2016 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

4745 Stanton Ogletwn Rd
Ste 220
Newark, DE 19713
Phone (302) 368-5515

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Organizations & group practices 4

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

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1275796120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DRIVE",
            "address_2": "CCHS PHYSICIAN CONTRACTING, SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN-STANTON ROAD",
            "address_2": "MAP 1, SUITE 220",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132074",
            "telephone_number": "302-368-5515",
            "fax_number": "302-325-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "IRENE",
        "middle_name": "QUIAMBAO PERMUT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA09531200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09531200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C1-0011513",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA09531200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "QUIAMBAO PERMUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.