Robert M Wall, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA43394 Issued in NJ

Practice address

50 Cherry Hill Rd
Parsippany, NJ 07054-1113

Phone

(973) 971-7048

Fax

(973) 331-8124

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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 Medicine

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.

• Cardiovascular Health Consultants, P.a.

  • Legal Medicine
  • Morristown, NJ
  • NPI 1437291739
  Medicare reassignment NPD
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment NPD
• Lakeland Cardiology Center, PA

  • Specialist
  • Mountain Lakes, NJ
  • NPI 1053368837
  NPD Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1477543247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "973-971-7048",
            "fax_number": "973-331-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA43394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhanye Vines
• Mark Vitale, LAC
• Nicole Lynn Vontell, COTA
• Walgreen Co
• Walk in Medical Care LLC
• Leona P. Butler Wallace
• Lorraine Wallace
• Bailey Mitchell Walsh
• Erica Walters, M.D.
• Anne M Ward, RN

• Cardiovascular Disease Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.