Active NPI
Linda Marie Dalton, PA-C
- Physician Assistant
- Long Island City, NY
National Provider Identifier
1952408031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006943
- Practice address
- 31-41 45TH Street
Long Island City, NY 11103 - Phone
- (718) 721-1500
- Fax
- (718) 777-5934
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17907 | CA | |
| Physician Assistant | 363A00000X | 006943 | NY | Primary |
Addresses
Primary practice location
31-41 45TH Street
Long Island City, NY 11103
Mailing address
31-41 45TH Street
Long Island City, NY 11103
Phone (718) 721-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006943 | Other | NY | NEW YORK STATE |
| PA17907 | Other | CA | PA LICENSE NUMBER |
Other names 1
- Linda Marie Kerestes
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17907 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Consultantsof Westchester, PC | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1508144130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1952408031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31-41 45TH STREET",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11103",
"telephone_number": "718-721-1500",
"fax_number": "718-777-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31-41 45TH STREET",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11103",
"telephone_number": "718-721-1500",
"fax_number": "718-777-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17907",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE",
"identifier": "006943",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "PA17907",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "KERESTES",
"middle_name": "MARIE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.