Individual provider Active NPI

Elizabeth Walker

  • Family Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1376943399
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00517100 Issued in NJ
Practice address
253 Gordon'S Corner Road
Minute Clinic
Manalapan, NJ 07726
Phone
(732) 888-8299
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00517100 NJ Primary

Addresses

Primary practice location

253 Gordon'S Corner Road
Minute Clinic
Manalapan, NJ 07726

Mailing address

228 Daffodil Dr
Freehold, NJ 07728-4066
Phone (908) 670-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141022001400 NJ Practitioner - Nurse Practitioner 7315168036 Reassigns benefits to 5 organizations
I20170817000606 PA Practitioner - Nurse Practitioner 7315168036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

3071 E Chestnut Ave
D12 Metropolitan Dermatology
Vineland, NJ 08361-7847
Phone (856) 691-1737

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00517100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Oct 7, 2017 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Oct 7, 2017 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 8, 2014 Accepting new patients
Chambers Emergency Associates PA CurrentSince Jun 1, 2015 Accepting new patients
Clark Dermatology LLC CurrentSince Mar 2, 2019 Accepting new patients
Mydoc Urgent Care CurrentSince May 23, 2017 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients
Ahpaffs,LLC PastSince Jun 4, 2021 Accepting new patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

469 Morris Ave
Ste 2
Elizabeth, NJ 07208
Phone (908) 351-6060

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

253 Gordons Corner Rd
Manalapan, NJ 07726
Phone (732) 536-0400

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1805 Route 206
Southampton, NJ 08088
Phone (609) 535-1000

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

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

3071 E Chestnut Ave
Ste D1
Vineland, NJ 08361
Phone (856) 691-1737

3071 E Chestnut Ave
Ste D12
Vineland, NJ 08361
Phone (201) 837-3939

100 N Black Horse Pike
Ste C
Williamstown, NJ 08094
Phone (856) 362-2200

Organizations & group practices 9

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1376943399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DAFFODIL DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284066",
            "telephone_number": "908-670-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 GORDON'S CORNER ROAD",
            "address_2": "MINUTE CLINIC",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-888-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00517100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.