CHERRY DIZON – Family Nurse Practitioner, NPI 1174982979

CHERRY DIZON is a healthcare provider. based in Bayville, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ00617800 (NJ). The NPI Number for CHERRY DIZON is 1174982979

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CHERRY DIZON
NPI
1174982979
Phone
(732) 237-0950
Address
2 SURLE CT
Enumeration Date
22 February 2016
Last Update Date
13 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323648000
Graduation Year
2015 (11 years ago)
PAC ID
4385943232
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20160428000606
Address ID
NJ087015897LA475XX70XX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for CHERRY DIZON

  • 2 SURLE CT

    BAYVILLE, NJ 087212166

    Phone: (732) 237-0950

    Type: Mailing

  • 1028, Hooper Avenue, Manitou Park, Toms River, Ocean County, New Jersey, 08753, United States

    TOMS RIVER, NJ 087538321

    Phone: (732) 202-6850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160428000606INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1918$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 08721)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What is the registry number for CHERRY DIZON?
The registry entry for CHERRY DIZON shows NPI 1174982979.
Is CHERRY DIZON's NPI status active today?
Active status means CHERRY DIZON's NPI record is not deactivated in the public file.
How should patients interpret CHERRY DIZON's specialty?
The extract shows Family Nurse Practitioner for CHERRY DIZON. Clinical services aligned with this taxonomy classification.
What city is tied to CHERRY DIZON?
The directory associates CHERRY DIZON with Bayville, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for CHERRY DIZON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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