Individual provider Active NPI

Jasmine Noelle Walker, MD

  • Family Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1396321303
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
344724 Issued in NY
Practice address
2 Lincoln Ave Ste 201
Rockville Centre, NY 11570-5775
Phone
(515) 536-0600
Fax
(516) 536-0694
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 344724 NY Primary

Addresses

Primary practice location

2 Lincoln Ave Ste 201
Rockville Centre, NY 11570-5775

Mailing address

2 Lincoln Ave Ste 201
Rockville Centre, NY 11570-5775
Phone (516) 536-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629003022 PA Order and Referring Only - General SurgeryPractitioner - General Surgery 5799186664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396321303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN AVE STE 201",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705775",
            "telephone_number": "516-536-0600",
            "fax_number": "516-536-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN AVE STE 201",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705775",
            "telephone_number": "515-536-0600",
            "fax_number": "516-536-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JASMINE",
        "middle_name": "NOELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "344724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.