DR. JACK F DALTON M.D. NPI 1619947082

NPI Information

NPI: 1619947082
Provider Name: DR. JACK F DALTON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
106-14 70TH AVENUE
FOREST HILLS, NY
ZIP 11375
Phone: (718) 520-6620
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DR. Jack F Dalton, M.D. is a specialist in Forest Hills, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jack F Dalton, M.D. NPI is 1619947082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

106-14 70TH AVENUE
FOREST HILLS, NY
ZIP 11375
Phone: (718) 520-6620
Fax: (718) 520-6630

The enumeration date for this NPI number is 1/26/2006 and was last updated on 1/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		112564	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4C8348	OTHER	NEW YORK	HEALTHNET
2	00863G	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GHI MEDICARE
3	C08489	MEDICARE UPIN	NEW YORK
4	0041437	OTHER	NEW YORK	GHI
5	NS1640	OTHER	NEW YORK	OXFORD HEALTHCARE
6	176007	OTHER	NEW YORK	ELDERPLAN
7	24706P	OTHER	NEW YORK	HIP
8	113089245	OTHER	NEW YORK	TAX ID
9	324641	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	EMPIRE MEDICARE
10	00881847	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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