MARK DALTON
NPI 1710928536
Emergency Medicine in Red Bank, NJ

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
1 RIVERVIEW PLZ, RED BANK, NJ 07701(732) 530-2204 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Dalton NPPES

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

MARK DALTON (NPI 1710928536) is an individual emergency medicine provider in Red Bank, New Jersey, licensed in New Jersey (MA69584) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Rutgers New Jersey Medical School (1992).

NPPES Registry Identity

NPI1710928536
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK DALTON
Location Address1 RIVERVIEW PLZRed Bank, NJ 07701-1864
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1992
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 24, 2021
✔ NPI 1710928536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · MA69584
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 RIVERVIEW PLZ, Red Bank, NJ 07701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Dalton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143293506
PECOS Enrollment IDI20040816000141
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Mark Dalton reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medical Services
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 74 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
105 NASON DR
Roaring Spring, PA 16673
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
Emergency Medicine
10455 LINCOLN HWY
Everett, PA 15537
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
600 SOMERSET AVE
Windber, PA 15963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services65 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services35 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Nurse Practitioner (Family)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Pathology (Anatomic Pathology & Clinical Pathology)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology (Pain Medicine)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Emergency Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701
General Acute Care Hospital
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Family Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701

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 Mark Dalton's NPI number?

The NPI number for Mark Dalton is 1710928536. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Mark Dalton located?

Mark Dalton practices at 1 Riverview Plz, Red Bank, NJ 07701. The listed phone number is (732) 530-2204.

What is Mark Dalton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Dalton enrolled in Medicare?

Yes. Mark Dalton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dalton reassigns Medicare benefits to 8 organizations: Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Stadium Emergency Associates (Secaucus, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Dlp Conemaugh Physician Practices LLC (Roaring Spring, PA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Dalton affiliated with any hospitals?

According to CMS data, Mark Dalton is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Dalton was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.