Active NPI
Timothy Aloysius Walsh, ATC,LAT
- Specialist
- East Rutherford, NJ
National Provider Identifier
1730117466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MT00021200
- Practice address
- 390 Murray Hill Pkwy
East Rutherford, NJ 07073-2109 - Phone
- (201) 635-3192
- Fax
- (201) 935-5149
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MT00021200 | NJ | Primary |
Addresses
Primary practice location
390 Murray Hill Pkwy
East Rutherford, NJ 07073-2109
Mailing address
19 Fairfield CT
Township of Washington, NJ 07676-5114
Phone (201) 248-3519
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 |
|---|---|---|---|
| 25MT00021200 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730117466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FAIRFIELD CT",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076765114",
"telephone_number": "201-248-3519",
"fax_number": "201-935-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MURRAY HILL PKWY",
"city": "EAST RUTHERFORD",
"state": "NJ",
"postal_code": "070732109",
"telephone_number": "201-635-3192",
"fax_number": "201-935-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TIMOTHY",
"middle_name": "ALOYSIUS",
"credential": "ATC,LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MT00021200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Rutherford, NJ
- Union City Medical Supplies Inc. (Bio Dynamic Technologies Inc)
- Anna Urbaniak
- Deborah Vargas, LMFT
- Anne Vernieri, RPH
- Vitality Medical and Physical Therapy LLC
- Leigh Jordan Weiss, ATC, PT/DPT
- Wellness One & Rehabilitation LLC
- Wellness One of South Bergen
- William C. Fruchtman OD PA
- William C. Fruchtman OD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.