Individual provider Active NPI

Tracy Lynne Walker, MD

  • Cardiovascular Disease Physician
  • Emerson, NJ
National Provider Identifier
1003836123
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07905600 Issued in NJ
Practice address
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Phone
(201) 967-8221
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07905600 NJ Primary

Addresses

Primary practice location

466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 666-3900

Other practice location 1

1 W Ridgewood Ave Ste 301
Paramus, NJ 07652-2350
Phone (201) 445-1660

Other practice location 2

305 W Grand Ave Ste 200
Montvale, NJ 07645-1882
Phone (201) 391-0071

Other practice location 3

269 Livingston St Ste L
Northvale, NJ 07647-1918
Phone (201) 767-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000012 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 3375558570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.95 of 100Reported as group
Quality
71.98
Promoting interoperability
90
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA CurrentSince Mar 1, 2021 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Jun 1, 2023 Accepting new patients
Regional Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Hera Inpatient Services Past Accepting new patients
Dr. Jeffrey S. Weisman, PC Cardiovascular Disease Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

1364 Route 72 W
Ste 56
Manahawkin, NJ 08050

1364 Route 72 W
Ste 6
Manahawkin, NJ 08050
Phone (732) 425-7772

1364 Route 72 W
Ste 2
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: tracywalker@crhs.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1003836123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD STE 1",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-967-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Ridgewood Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522350",
            "country_code": "US",
            "telephone_number": "201-445-1660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451882",
            "country_code": "US",
            "telephone_number": "201-391-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Livingston St Ste L",
            "address_purpose": "LOCATION",
            "city": "Northvale",
            "state": "NJ",
            "postal_code": "076471918",
            "country_code": "US",
            "telephone_number": "201-767-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRACY",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07905600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.