Active NPI
Amy Elizabeth Dalton, DO
- Nephrology Physician
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 304210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400304663 | Other | NY | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Meeting House LN
Southampton, NY 11968-5087
Phone (631) 283-4048
Hospital & facility affiliations
- Hamptons Dialysis Center
- Stony Brook Southampton Hospital Regional Dialysis Center
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Peritoneal Dialysis Registered Nurse
- Hampton Bays, NY
- NPI 1558470427
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Southampton, NY
- NPI 1861933368
Dialysis facility
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.