Individual provider Active NPI

William John Walsh, DC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1023433935
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00730700 Issued in NJ
Practice address
72 Route 27
Edison, NJ 08820-3986
Phone
(732) 662-9901
Fax
(732) 662-9904
NPI assigned
Feb 28, 2014
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11136 FL
Chiropractor 111N00000X 38MC00730700 NJ Primary

Addresses

Primary practice location

72 Route 27
Edison, NJ 08820-3986

Mailing address

72 Route 27
Edison, NJ 08820-3986
Phone (732) 662-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000596 NJ Practitioner - Chiropractic 2062634272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Sports Medicine of Hamilton LLCGroup PAC ID 0547509051, 2 clinicians

Practice addresses (Care Compare)

140 Cabot Dr
Suite a
Hamilton, NJ 08691-3208
Phone (609) 528-4417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11136FLMDChiropractor
38MC00730700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allcure of Somerset LLC CurrentSince Feb 15, 2022 Accepting new patients
Spine & Sports Medicine of Monroe, LLC CurrentSince Jun 2, 2019 Accepting new patients
Recover Pro Medical & Wellness Chiropractor Past Accepting new patients

Locations

239 Prospect Plains Rd
Ste A101
Monroe Township, NJ 08831
Phone (732) 521-9222

350 Forsgate Dr
Ste 102
Monroe Twp, NJ 08831
Phone (732) 521-9222

1101 Randolph Rd
Ste F
Somerset, NJ 08873
Phone (732) 521-9222

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1023433935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-662-9901",
            "fax_number": "732-662-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-662-9901",
            "fax_number": "732-662-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11136",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00730700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.