Active NPI
Walter J Pierce, M.D.
- Cardiovascular Disease Physician
- Blue Point, NY
National Provider Identifier
1881687622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 168599
- Practice address
- 39 Harbour Dr
Blue Point, NY 11715-1421 - Phone
- (917) 693-7299
- Fax
- (917) 970-9742
- NPI assigned
- Aug 26, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 168599 | NY | Primary |
Addresses
Primary practice location
39 Harbour Dr
Blue Point, NY 11715-1421
Mailing address
39 Harbour Dr
Blue Point, NY 11715-1421
Phone (917) 693-7299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01386149 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slrhc Faculty Practice | Past | Accepting new patients | |
| TBHC Ecg Med Services PC | Past | Accepting new patients | |
| Docs Physicians Affiliated With Bimc | Past | Accepting new patients | |
| Staten Island Physician Practice PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Physician
- New York, NY
- NPI 1821016692
-
- Internal Medicine Physician
- New York, NY
- NPI 1942524178
-
- Internal Medicine Physician
- New York, NY
- NPI 1568413169
-
- Clinical Cardiac Electrophysiology Physician
- Brooklyn, NY
- NPI 1699868836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1881687622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 HARBOUR DR",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151421",
"telephone_number": "917-693-7299",
"fax_number": "917-970-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 HARBOUR DR",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151421",
"telephone_number": "917-693-7299",
"fax_number": "917-970-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "WALTER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "168599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01386149",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.