Individual provider Active NPI

John Walch Jr., NP

  • Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1457073454
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01354400 Issued in NJ
Practice address
54 W Jimmie Leeds Rd Ste 4
Galloway, NJ 08205-9438
Phone
(609) 404-0056
NPI assigned
Sep 15, 2022
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01354400 NJ Primary

Addresses

Primary practice location

54 W Jimmie Leeds Rd Ste 4
Galloway, NJ 08205-9438

Mailing address

1418 New Rd Ste 2
Northfield, NJ 08225-1179
Phone (609) 796-2119

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004003126 NJ Practitioner - Nurse Practitioner 1254717887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Otter LN
Egg Harbor Township, NJ 08234-7807

17177 N Laurel Park Dr
Livonia, MI 48152-3938

54 W Jimmie Leeds Rd
Suite 4
Galloway, NJ 08205-9438

6725 Ventnor Ave
Suite C
Ventnor City, NJ 08406-2181

PO Box
Suite 809356
Chicago, IL 60680-9356

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Medconsultants LLC CurrentSince Feb 9, 2026 Accepting new patients
Garden State Specialty Care, LLC CurrentSince Nov 7, 2025 Accepting new patients
American Sleep and Pulmonary Medicine, PC CurrentSince Sep 15, 2022 Accepting new patients

Locations

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

54 W Jimmie Leeds Rd
Ste 4
Galloway, NJ 08205
Phone (609) 404-0056

54 W Jimmie Leeds Rd
Ste 4AND5
Galloway, NJ 08205
Phone (609) 404-0056

2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750

1418 New Rd
Ste 2
Northfield, NJ 08225
Phone (609) 645-8282

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1457073454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 NEW RD STE 2",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251179",
            "telephone_number": "609-796-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD STE 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-404-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCH",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01354400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.