Individual provider Active NPI

Ryan D Walker, M.D.

  • Pediatric Otolaryngology Physician
  • Cherry Hill, NJ
National Provider Identifier
1457675589
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
25MA09871200 Issued in NJ
Practice address
1940 Route 70 E Ste 1
Cherry Hill, NJ 08003-2141
Phone
(609) 696-5929
Fax
(609) 696-5619
NPI assigned
Mar 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 25MA09871200 NJ Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25MA09871200 NJ

Addresses

Primary practice location

1940 Route 70 E Ste 1
Cherry Hill, NJ 08003-2141

Mailing address

1940 Route 70 E Ste 1
Cherry Hill, NJ 08003-2141
Phone (609) 696-5929

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160728000643 NJ Practitioner - Otolaryngology 9931492907 Reassigns benefits to 1 organization
I20250314001283 PA Practitioner - Otolaryngology 9931492907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1940 Route 70 E
Suite 1
Cherry Hill, NJ 08003-2141
Phone (609) 696-5929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09871200NJMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Mar 24, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 24, 2025 Accepting new patients
Next Wave Pediatric ENT LLC Pediatric Otolaryngology CurrentSince Dec 31, 2024 Accepting new patients

Locations

1940 Route 70 E
Ste 1
Cherry Hill, NJ 08003
Phone (609) 696-5929

2102 Harrisburg Pike
Ste 200
Lancaster, PA 17601

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

Interoperability endpoints

  • Direct secure messaging: rwalker@nextwavekids.emadirect.md
  • Direct secure messaging: rwalker@advancedent.emadirect.md
  • Direct secure messaging: rwalker266323@direct-lghealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1457675589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ROUTE 70 E STE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032141",
            "telephone_number": "609-696-5929",
            "fax_number": "609-696-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ROUTE 70 E STE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032141",
            "telephone_number": "609-696-5929",
            "fax_number": "609-696-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NJ",
            "license": "25MA09871200",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA09871200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.