Individual provider Active NPI

David Matthew Walker, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Bridgewater, NJ
National Provider Identifier
1083637219
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
25MA10445300 Issued in NJ
Practice address
966 US Highway 22
Bridgewater, NJ 08807-2818
Phone
(732) 605-5437
NPI assigned
Jul 26, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD-19876 HI
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X C196326 CA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 25MA10445300 NJ Primary

Addresses

Primary practice location

966 US Highway 22
Bridgewater, NJ 08807-2818

Mailing address

5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-1426

Other practice location 1

355 US Highway 22
Springfield, NJ 07081-3577
Phone (973) 467-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320001914 NJ Practitioner - Pediatric Medicine 5395776066 Reassigns benefits to 1 organization
I20230209001628 HI Practitioner - Pediatric Medicine 5395776066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C196326CAMDPediatric Emergency Medicine (Pediatrics) Physician
25MA10445300NJMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 28, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 28, 2019 Accepting new patients
Emergency Medicine Physicians of Honolulu Kapiolani, LLC CurrentSince Jan 1, 2023 Accepting new patients
Alaska Pediatric Night Clinic, Inc. Past Accepting new patients
Silver Spring Emergency Physicians, P.C. Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients
PM Pediatrics of Livingston, PLLC PastSince Nov 19, 2023 Accepting new patients
Children's Hospital Past Accepting new patients

Locations

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • Direct secure messaging: david.walker@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1083637219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 US HIGHWAY 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072818",
            "telephone_number": "732-605-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 US Highway 22",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070813577",
            "country_code": "US",
            "telephone_number": "973-467-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "HI",
            "license": "MD-19876",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "C196326",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NJ",
            "license": "25MA10445300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.