Individual provider Active NPI

John B Dalton, M.D.

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1629041231
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07358300 Issued in NJ
Practice address
552 Westwood Ave
Long Branch, NJ 07740-5239
Phone
(732) 222-7800
Fax
(732) 571-2075
NPI assigned
Feb 13, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07358300 NJ Primary

Addresses

Primary practice location

552 Westwood Ave
Long Branch, NJ 07740-5239

Mailing address

368 Meadowbrook Ave
Eatontown, NJ 07724-2315
Phone (732) 542-4635

Other identifiers 2

IdentifierTypeStateIssuer
P3597459OtherNJOXFORD
2K9152OtherNJHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07358300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interventions LLC Past Accepting new patients
Shore Health Group, PC Internal Medicine Past Accepting new patients
Barnegat Medical Associates P a Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.dalton@direct.hackensackmeridian.org

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1629041231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 MEADOWBROOK AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242315",
            "telephone_number": "732-542-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 WESTWOOD AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405239",
            "telephone_number": "732-222-7800",
            "fax_number": "732-571-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07358300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3597459",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K9152",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.