Individual provider Active NPI

Shariff Walker

  • Student in an Organized Health Care Education/Training Program
  • Bensalem, PA
National Provider Identifier
1407419617
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
431 Brister Rd
Bensalem, PA 19020-1649
Phone
(215) 432-9934
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

431 Brister Rd
Bensalem, PA 19020-1649

Mailing address

431 Brister Rd
Bensalem, PA 19020-1649
Phone (215) 432-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20231011002818 NJ Practitioner - Anesthesiology 7618322629 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians
Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

321 Essex St
Hackensack, NJ 07601-2066
Phone (917) 681-4963

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC CurrentSince Jun 1, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 7, 2023 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Jan 28, 2026 Accepting new patients
Resolute Perioperative Services LLC CurrentSince Dec 24, 2023 Accepting new patients
Canj Anesthesia LLC CurrentSince Aug 3, 2024 Accepting new patients
Centurion Anesthesia Surgical Centers LLC CurrentSince Aug 13, 2024 Accepting new patients

Locations

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

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

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

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

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1407419617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BRISTER RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201649",
            "telephone_number": "215-432-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BRISTER RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201649",
            "telephone_number": "215-432-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHARIFF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.