JOHN JOSEPH DALTON PA-C
NPI 1407295025
Physician Assistant - Surgical in East Patchogue, NY
NPI Status: Active since June 17, 2013
Contact Information
285 SILLS RD BLDG 18
EAST PATCHOGUE, NY
ZIP 11772
Phone: (631) 475-1224
Fax: (631) 475-1588
- Individual
- Male
- Years of Experience 11
- Physician Assistant
- Surgical
- PECOS Enrolled
- Accepts Medicare Approved Payment
About JOHN DALTON
John Dalton is a provider established in East Patchogue, New York and his medical specialization is Physician Assistant with a focus in surgical with more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1407295025 assigned on June 2013. The practitioner's primary taxonomy code is 363AS0400X with license number 016613 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1407295025
- Provider Name
- JOHN JOSEPH DALTON PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772
- Location Phone
- (631) 475-1224
- Location Fax
- (631) 475-1588
- Mailing Address
- 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772
- Mailing Phone
- (631) 475-1224
- Mailing Fax
- (631) 475-1588
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2013
- Last Update Date
- 08-15-2019
- Code Navigator
John Dalton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 016613
- License State
- NY
PECOS Enrollment and Medicare Participation Status
John Dalton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335373620
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130927000136
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Dalton is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE MANHASSET, NY 11030 | (516) 562-0100 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 0 | 7 | 2 | 9 | 5 | 0 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 0 | 7 | 4 | 9 | 10 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 0 + 7 + 4 + 9 + 1 + 0 + 0 + 4 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1407295025 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1831129022 | LEON FINKELSTEIN MD Individual | Specialist | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1241 |
1942283767 | DR. MICHAEL SLATTERY M.D. Individual | Radiology (Diagnostic Radiology) | 285 SILLS RD BLDG 18 RADIOLOGY DEPARTMENT EAST PATCHOGUE, NY 11772 (952) 595-1100 |
1992739841 | BROOKHAVEN ORTHOPEDIC ASSOCIATES MD PC Organization | Orthopaedic Surgery | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1241 |
1396307690 | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS & MEDICAL GROUP PLLC Organization | Durable Medical Equipment & Medical Supplies | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1740227842 | ITCHAK SCHWARZBARD M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1518997808 | BARRY C KLEEMAN MD Individual | Orthopaedic Surgery (Sports Medicine) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1750315438 | RICHARD ADAM RITTER MD Individual | Orthopaedic Surgery | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1891729455 | ALEXANDER SETH FINGER M.D. Individual | Orthopaedic Surgery | 285 SILLS RD BLDG 18 E PATCHOGUE, NY 11772 (631) 475-1224 |
1700982584 | ERIC M MANOFF MD Individual | Orthopaedic Surgery (Sports Medicine) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1184879868 | DR. BRIAN G. KINCAID JR. M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1558607531 | NANCY TENGELSEN PA-C Individual | Physician Assistant | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1972851293 | DR. ANDREW JAMES LANZONE DO Individual | Family Medicine (Sports Medicine) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1417469651 | ANTHONY JAMES NUNZIATO PA-C Individual | Physician Assistant | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1750806261 | BRIAN POWERS PA-C Individual | Physician Assistant | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1952719593 | STEVEN RICHARD ESPOSITO PA-C Individual | Physician Assistant | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1689084626 | KYLE KEANE D.O. Individual | Family Medicine (Sports Medicine) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1942696364 | DR. ERIC BARANEK M.D. Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1720612880 | MR. PETER JOSEPH SICARDI JR. Individual | Physician Assistant (Surgical) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1871186445 | JESSICA GIBSON PA-C Individual | Physician Assistant (Surgical) | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
1366169310 | CRISTINA MONICA PUIU PT Individual | Physical Therapist | 285 SILLS RD BLDG 18 EAST PATCHOGUE, NY 11772 (631) 475-1224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407295025, enumerated in the NPI registry as an "individual" on June 17, 2013
The provider is located at 285 Sills Rd Bldg 18 East Patchogue, Ny 11772 and the phone number is (631) 475-1224
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 11 years of experience.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): NORTH SHORE UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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