M.D. Samuel Roy Walters, NPI 1144368606
Internal Medicine Physician in Englewood, NJ, US

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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
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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

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

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.

Business Address

M.D. Samuel Roy Walters
401 S Van Brunt St Ste 403

Englewood, NJ, US

Phone: 201-408-5041
Fax: 201-408-5085

Mailing Address

M.D. Samuel Roy Walters
401 S Van Brunt St Ste 403
Englewood, NJ, US
ZIP 076314635
Phone: 201-408-5041
Fax: 201-408-5085

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

172V00000X

Other Service Providers

Community Health Worker

115662 NY No

174400000X

Other Service Providers

Specialist

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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