Individual provider Active NPI

Ruth Walsh, NP

  • Acute Care Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1497311955
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00896200 Issued in NJ
Practice address
1001 Route 73 N Uppr Level
Marlton, NJ 08053-4524
Phone
(856) 988-3444
Fax
(856) 988-0553
NPI assigned
May 10, 2019
Last updated
Oct 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00896200 NJ Primary

Addresses

Primary practice location

1001 Route 73 N Uppr Level
Marlton, NJ 08053-4524

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwalsh115133@directvirtua.org

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
I20191126001758 NJ Practitioner - Nurse Practitioner 2365875739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 552-3261

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Oct 2, 2019 Accepting new patients
Samaritan Healthcare & Hospice, Inc. CurrentSince Nov 19, 2019 Accepting new patients
Atlanticare Physician Group PA CurrentSince Oct 2, 2019 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 8, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 8, 2020 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1001 Route 73 N
Uppr
Marlton, NJ 08053
Phone (856) 355-7137

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Interoperability endpoints

  • Direct secure messaging: rwalsh115133@directvirtua.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1497311955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 73 N UPPR LEVEL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534524",
            "telephone_number": "856-988-3444",
            "fax_number": "856-988-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W Jimmie Leeds Rd",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NJ",
            "postal_code": "082409102",
            "country_code": "US",
            "telephone_number": "609-652-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00896200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwalsh115133@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Route 73 N Uppr Level",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.