Individual provider Active NPI

Mark Dalton

  • Emergency Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1710928536
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA69584 Issued in NJ
Practice address
1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone
(732) 530-2204
NPI assigned
Jun 10, 2006
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA69584 NJ Primary

Addresses

Primary practice location

1 Riverview PLZ
Red Bank, NJ 07701-1864

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040816000141 NJ Practitioner - Emergency Medicine 0143293506 Reassigns benefits to 4 organizations
I20140922002246 PA Practitioner - Emergency Medicine 0143293506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2200

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69584NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Sep 25, 2015 Accepting new patients
Upmc Bedford Memorial Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 18, 2020 Accepting new patients
Stadium Emergency Associates CurrentSince Feb 1, 2019 Accepting new patients
Windber Hospital, Inc CurrentSince Nov 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 18, 2020 Accepting new patients
Upmc Altoona CurrentSince Sep 25, 2015 Accepting new patients
Saint Peter's Healthcare System Physician Associates CurrentSince Jan 2, 2016 Accepting new patients
Rwjbh Observation Associates LLC Emergency Medicine CurrentSince Feb 26, 2022 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Upmc Bedford Memorial CurrentSince Aug 1, 2017 Accepting new patients
Shore Family Medicine Ass Past Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

501 Howard Ave
Ste F2
Altoona, PA 16601
Phone (814) 889-2020

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: mdalton160428@direct-guthrie.org
  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1710928536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864",
            "telephone_number": "732-530-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA69584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.