Walter Poprycz, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA43810 Issued in NJ

Practice address

17 White Horse Pike
Suite 1
Haddon Heights, NJ 08035-1299

Phone

(856) 547-2323

Fax

(856) 547-7932

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1093836041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 1",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-547-2323",
            "fax_number": "856-547-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE HORSE PIKE",
            "address_2": "SUITE 1",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351299",
            "telephone_number": "856-547-2323",
            "fax_number": "856-547-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPRYCZ",
        "first_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA43810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M Phillips, DDS
• Michael Joseph Piazza, D.O.
• Jamie Piliero
• Lynda Plank, MSN, APN-C
• Kelsey Pomeroy, PA
• Susan Porreca, M.S., BCBA
• Professional Medical Transport
• Professional Orthopedic Associates of/Is Southern NJ
• Melissa Anne Pryzbylkowski, PA-C
• Jena Diane Quinn, PHARMD

• Orthopaedic Surgery Physician in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.