Walter M Comiskey, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB 034470 Issued in NJ

Practice address

1 Mainbridge LN
Willingboro, NJ 08046-2103

Phone

(609) 877-0644

Fax

(609) 877-0370

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Internal Medicine, NJ

  Medicare reassignment NPD
• Uhs of Hampton, Inc

  • Psychiatry Physician
  • Westampton, NJ
  • NPI 1285822858

  NJ

  Medicare reassignment
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Haddon Township, NJ
  • NPI 1932659778
  NPD
• Hera Inpatient Services

  • Internal Medicine Physician
  • Somers Point, NJ
  • NPI 1760511240

  Internal Medicine

  NPD (past)
• Mainbridge Medical

  • Family Medicine Physician
  • Willingboro, NJ
  • NPI 1972553642
  NPD (past)
• Clinical Staffing Solutions P.C.

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1487684114

  Internal Medicine

  NPD (past)
• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424

  Internal Medicine

  NPD (past)
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1457572802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "STE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543917",
            "telephone_number": "609-387-9242",
            "fax_number": "609-387-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAINBRIDGE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462103",
            "telephone_number": "609-877-0644",
            "fax_number": "609-877-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISKEY",
        "first_name": "WALTER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB 034470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976504",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcomiskey17796@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 385",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Odette Marie Cohen-Martin, MD
• Charlise E Cole, CRNA
• Elliot H Coleman, MD
• Marchelle Coleman, MSW, LCSW, M. ED
• Keith A. Comber, CRNA
• Community Options, Inc
• Community Options, Inc.
• Community Treatment Solutions
• Community Treatment Solutions
• Community Treatment Solutions

• All providers in Willingboro, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.