Active NPI
Jenny Green Walker, MD
- Family Medicine Physician
- New York, NY
National Provider Identifier
1265453880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 192520
- Practice address
- 81 W 115TH St
New York, NY 10026-3138 - Phone
- (212) 426-0088
- Fax
- (212) 426-8367
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 192520 | NY | Primary |
Addresses
Primary practice location
81 W 115TH St
New York, NY 10026-3138
Mailing address
60 Madison Ave
5TH Floor
New York, NY 10010-1600
Phone (212) 545-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Diagnostic and Treatment Center | Past | Accepting new patients | |
| St Lukes Roosevelt Community Care | Past | Accepting new patients |
Interoperability endpoints
- jenny.walker@chn.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Clinic/Center
- New York, NY
- NPI 1669476156
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1265453880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 W 115TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263138",
"telephone_number": "212-426-0088",
"fax_number": "212-426-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNY",
"middle_name": "GREEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "192520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.