M.D. Samuel Roy Walters, NPI 1144368606
Internal Medicine Physician in Englewood, NJ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1144368606 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Samuel Roy Walters |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 401 S Van Brunt St Ste 403, Englewood, NJ, US |
| Provider Mailing Address | 401 S Van Brunt St Ste 403, Englewood, NJ, US, 076314635 |
| Gender | Male |
| Is Sole Proprietor? | Yes |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Internal Medicine Physician |
| Classification | |
| Group | |
| License No. | 25MA03794100 |
| License State | NJ |
| Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 115662 | NY | No | |||
| 115662 | NY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| G300023857 | NY | MEDICARE GHI | 01 |
| 00213896 | NY | MEDICAID | 05 |
| A300031683 | NY | MEDICARE EMPIRE | 01 |
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