Active NPI
Andrew Walsh
- Registered Nurse
- West Babylon, NY
National Provider Identifier
1710551106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 808879-01
- Practice address
- 134 Great East Neck Rd
West Babylon, NY 11704-8027 - Phone
- (631) 422-4800
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 808879-01 | NY | Primary |
Addresses
Primary practice location
134 Great East Neck Rd
West Babylon, NY 11704-8027
Mailing address
134 Great East Neck Rd
West Babylon, NY 11704-8027
Phone (631) 422-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | . |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808879-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1710551106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048027",
"telephone_number": "631-422-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048027",
"telephone_number": "631-422-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "808879-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": ".",
"affiliation": "N",
"address_1": "134 Great East Neck Rd",
"city": "West Babylon",
"state": "NY",
"country_code": "US",
"postal_code": "117048027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.