Organization Active NPI

John Joseph Danyo Jr, M.D.

  • Specialist
  • Wilmington, DE
National Provider Identifier
1336349208
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10005578 Issued in DE
Legal business name
JOHN JOSEPH DANYO JR, M.D.
Practice address
4001 Kennett Pike Ste 234
Wilmington, DE 19807-2029
Phone
(302) 888-0508
Fax
(302) 888-0509
NPI assigned
Jul 19, 2007
Organization subpart
No

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

Authorized official

Name
John Joseph Danyo, MDNPI 1063438604
Title
MD
Phone
(302) 888-0508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000408 DE Part B Supplier - Clinic/Group Practice 0840453544 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1336349208",
    "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": {
        "organization_name": "JOHN JOSEPH DANYO JR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "DANYO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "302-888-0508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.