DR. JACK F DALTON M.D.
NPI 1619947082
Specialist in Forest Hills, NY

Active since January 26, 2006
106-14 70TH AVENUE, FOREST HILLS, NY 11375(718) 520-6620(718) 520-6630 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack F Dalton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK F DALTON M.D. (NPI 1619947082) is an individual specialist in Forest Hills, New York, licensed in New York (112564) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1619947082
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JACK F DALTONCredential: M.D.
Location Address106-14 70TH AVENUEForest Hills, NY 11375
Mailing Address250 S End AveNew York, NY 10280-1078 · (718) 520-6620 · Fax (718) 520-6630
Fax(718) 520-6630
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJanuary 11, 2011
NPI 1619947082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 112564
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
106-14 70TH AVENUE, Forest Hills, NY 11375

Other Identifiers 10

Other4C8348NY · Healthnet
Medicare ID-Type Unspecified00863GNY · Ghi Medicare
Medicare UPINC08489NY
Other0041437NY · Ghi
OtherNS1640NY · Oxford Healthcare
Other176007NY · Elderplan
Other24706PNY · Hip
Other113089245NY · Tax Id
Medicare ID-Type Unspecified324641NY · Empire Medicare
Medicaid00881847NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
106-14 70TH AVENUE
FOREST HILLS, NY 11375
Radiology (Radiation Oncology)
106-14 70TH AVENUE
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Dalton's NPI number?

The NPI number for Jack Dalton is 1619947082. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Jack Dalton located?

Jack Dalton practices at 106-14 70th Avenue, Forest Hills, NY 11375. The listed phone number is (718) 520-6620.

What is Jack Dalton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Dalton was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.