Individual provider Active NPI

Abigail Hodges Walsh, NP

  • Critical Care Pediatric Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1134421530
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
26NJ00929300 Issued in NJ
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039
Phone
(973) 322-5000
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 26NJ00929300 NJ
Critical Care Pediatric Nurse Practitioner 363LP0222X 26NJ00929300 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039

Mailing address

171 Fernwood Ave
Montclair, NJ 07043-1903
Phone (646) 856-7093

Other practice location 1

375 Mount Pleasant Ave Ste 105
West Orange, NJ 07052-2751
Phone (973) 322-6900

Other practice location 2

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150120002105 NY Practitioner - Nurse Practitioner 7113144171 Reassigns benefits to 1 organization
I20191122001291 NJ Practitioner - Nurse Practitioner 7113144171 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00929300NJMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Feb 1, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 26, 2023 Accepting new patients
New York University CurrentSince Nov 1, 2014 Accepting new patients
New York University CurrentSince Nov 1, 2014 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Oct 14, 2019 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 26, 2023 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

279 3rd Ave
Ste 306
Long Branch, NJ 07740
Phone (732) 235-6813

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

66 W Gilbert St
Ste 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

375 Mount Pleasant Ave
Ste 302
West Orange, NJ 07052
Phone (973) 322-6900

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

375 Mount Pleasant Ave
Ste 105
West Orange, NJ 07052
Phone (973) 322-6900

530 1st Ave
Ste 9V
New York, NY 10016
Phone (212) 263-5989

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: awalsh17843@epicdirect.rwjbh.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1134421530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FERNWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431903",
            "telephone_number": "646-856-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Mount Pleasant Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522751",
            "country_code": "US",
            "telephone_number": "973-322-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "07039",
            "country_code": "US",
            "telephone_number": "973-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ABIGAIL",
        "middle_name": "HODGES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NJ",
            "license": "26NJ00929300",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "NJ",
            "license": "26NJ00929300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.