Mary Ellen Walder, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09301700 Issued in NJ

Practice address

2041 N Route 9
Cape May Court House, NJ 08210-1162

Phone

(609) 624-8986

Fax

(609) 624-9098

NPI assigned

Jul 25, 2006

Last updated

May 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1043233596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101162",
            "telephone_number": "609-624-8986",
            "fax_number": "660-962-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101162",
            "telephone_number": "609-624-8986",
            "fax_number": "609-624-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDER",
        "first_name": "MARY ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-043998-E",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09301700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016092820004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David P Visco, MD
• Lauren Voltaggio, APRN, FNP-C
• Volunteers in Medicine Physician Group PC
• Tung T Vu
• Danielle Wakefield, LPN
• Elizabeth Walmsley, CADC
• Jeng-Ren Wang, MD
• Henry Frederick Weigel, MS, RDN
• Anthony J Weiss, OT
• Robert J Weiss, M.D.

• Pediatrics Physician in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.