Active NPI
Pedro Quizon Dayrit, M.D.
- Gastroenterology Physician
- Salem, NJ
National Provider Identifier
1841343969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03916300
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595004 | Medicaid | NJ | |
| 0000214601 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091001000467 | NJ | Practitioner - Gastroenterology | 2365343902 | Practice locations: Salem, NJ |
| I20100524000733 | DE | Practitioner - Gastroenterology | 2365343902 | Practice locations: Bear, DE; Wilmington, DE |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 183 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002304 | DE | MD | Gastroenterology Physician |
| 25MA03916300 | NJ | MD | Gastroenterology Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.