Active NPI
Siara Walls
- Pediatric Nurse Practitioner
- Piscataway, NJ
National Provider Identifier
1346136165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ1547600
- Practice address
- 300 N Randolphville Rd Apt 114
Piscataway, NJ 08854-3163 - Phone
- (908) 635-8148
- NPI assigned
- Jun 17, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ1547600 | NJ | Primary |
Addresses
Primary practice location
300 N Randolphville Rd Apt 114
Piscataway, NJ 08854-3163
Mailing address
300 N Randolphville Rd Apt 114
Piscataway, NJ 08854-3163
Phone (908) 635-8148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ1547600 | NJ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1346136165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N RANDOLPHVILLE RD APT 114",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543163",
"telephone_number": "908-635-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N RANDOLPHVILLE RD APT 114",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543163",
"telephone_number": "908-635-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "SIARA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ1547600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.