Individual provider Active NPI

Sandra K Dalton, DPM,,C.PEDORTHIST

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
National Provider Identifier
1609950377
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00248000 Issued in NJ
Practice address
501 Bay Ave Ste 103
Somers Point, NJ 08244-2554
Phone
(609) 926-7006
Fax
(609) 926-7016
NPI assigned
Oct 25, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00248000 NJ Primary

Addresses

Primary practice location

501 Bay Ave Ste 103
Somers Point, NJ 08244-2554

Mailing address

PO Box 755
501 Bay Ave St 103
Somers Point, NJ 08244
Phone (609) 926-7006

Other identifiers 1

IdentifierTypeStateIssuer
8133000MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000040 NJ Practitioner - Podiatry 4587788930 Practice locations: Cape May Court House, NJ; Ocean View, NJ; Pleasantville, NJ; Somers Point, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Bay Ave
Suite 103
Somers Point, NJ 08244-2554
Phone (609) 926-7006

917 S Main St
Pleasantville, NJ 08232-3617
Phone (609) 645-9300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue621
Removal or shaving of skin growth339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of New Jersey, LLC Past Accepting new patients
Hospitaler Sisters of Mercy Past Accepting new patients
Bayside Foot & Ankle Foot & Ankle Surgery PastSince Jul 23, 1998 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1609950377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "address_2": "501 BAY AVE ST 103",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-926-7006",
            "fax_number": "609-926-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY AVE STE 103",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442554",
            "telephone_number": "609-926-7006",
            "fax_number": "609-926-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "DPM,,C.PEDORTHIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00248000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8133000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.