Individual provider Active NPI

Pedro Quizon Dayrit, M.D.

  • Gastroenterology Physician
  • Salem, NJ
National Provider Identifier
1841343969
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA03916300 Issued in NJ
Practice address
5 Pointers Auburn Rd
Mannington Medical Office
Salem, NJ 08079-4311
Phone
(856) 935-8900
Fax
(856) 935-9399
NPI assigned
Jan 19, 2007
Last updated
Sep 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA03916300 NJ Primary
Gastroenterology Physician 207RG0100X C1-0002304 DE

Addresses

Primary practice location

5 Pointers Auburn Rd
Mannington Medical Office
Salem, NJ 08079-4311

Mailing address

5 Pointers Auburn Rd
Mannington Medical Office
Salem, NJ 08079-4311
Phone (856) 935-8900

Other identifiers 2

IdentifierTypeStateIssuer
0595004MedicaidNJ
0000214601MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 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
I20091001000467 NJ Practitioner - Gastroenterology 2365343902 Practice locations: Salem, NJ
I20100524000733 DE Practitioner - GastroenterologyPractitioner - Internal Medicine 2365343902 Practice locations: Bear, DE; Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

410 Foulk Rd
Suite 105
Wilmington, DE 19803-3835
Phone (302) 762-4600

5 Pointers Auburn Rd
Salem, NJ 08079-4311
Phone (856) 935-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy183
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0002304DEMDGastroenterology Physician
25MA03916300NJMDGastroenterology Physician

Hospital & facility affiliations 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1841343969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 POINTERS AUBURN RD",
            "address_2": "MANNINGTON MEDICAL OFFICE",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080794311",
            "telephone_number": "856-935-8900",
            "fax_number": "856-935-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 POINTERS AUBURN RD",
            "address_2": "MANNINGTON MEDICAL OFFICE",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080794311",
            "telephone_number": "856-935-8900",
            "fax_number": "856-935-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYRIT",
        "first_name": "PEDRO",
        "middle_name": "QUIZON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03916300",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DE",
            "license": "C1-0002304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595004",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000214601",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.