Individual provider Active NPI

Amy Elizabeth Dalton, DO

  • Nephrology Physician
  • Southampton, NY
National Provider Identifier
1144742917
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
304210 Issued in NY
Practice address
325 Meeting House Lane
BLDG. 2 Suite 301
Southampton, NY 11968
Phone
(631) 283-4048
Fax
(631) 283-5396
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 304210 NY Primary

Addresses

Primary practice location

325 Meeting House Lane
BLDG. 2 Suite 301
Southampton, NY 11968

Mailing address

325 Meeting House Lane
BLDG. 2 Suite 301
Southampton, NY 11968
Phone (631) 283-4048

Other identifiers 1

IdentifierTypeStateIssuer
A400304663OtherNYMEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221207002283 NY Practitioner - Nephrology 3274902622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

325 Meeting House LN
Southampton, NY 11968-5087
Phone (631) 283-4048

Hospital & facility affiliations

  • Hamptons Dialysis Center Dialysis facility, Southampton, NY, CCN 332760
  • Stony Brook Southampton Hospital Regional Dialysis Center Dialysis facility, Hampton Bays, NY, CCN 333533
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

182 W Montauk Hwy
Ste C
Hampton Bays, NY 11946
Phone (631) 353-7810

182 W Montauk Hwy
Ste H
Hampton Bays, NY 11946
Phone (631) 723-0022

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

325 Meeting House Ln
Ste 301
Southampton, NY 11968
Phone (631) 283-4048

147 Beach Rd
Ste D
Westhampton Beach, NY 11978
Phone (631) 283-0918

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: amy.dalton.p1@direct.shproviders.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1144742917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LANE",
            "address_2": "BLDG. 2 SUITE 301",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-4048",
            "fax_number": "631-283-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LANE",
            "address_2": "BLDG. 2 SUITE 301",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-4048",
            "fax_number": "631-283-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "304210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "A400304663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.