Briza V Walter, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA09325400 Issued in NJ

Practice address

65 Windsor Dr
Pine Brook, NJ 07058-9757

Phone

(973) 908-3368

Fax

(201) 353-3692

NPI assigned

Jul 31, 2013

Last updated

Aug 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  Medicare reassignment NPD
• Integrative Wellness & Cosmetics, Inc

  dba Studio 17 Cosmetics & Wellness

  • Medical Specialty Clinic/Center
  • Hoboken, NJ
  • NPI 1821505462
  NPD Authorized official
• Integrative Obstetrics LLC

  dba Mindful Midwifery

  • Obstetrics & Gynecology Physician
  • Hoboken, NJ
  • NPI 1760923692
  Authorized official Same address or phone

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1942632088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WINDSOR DR",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589757",
            "telephone_number": "973-908-3368",
            "fax_number": "201-353-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WINDSOR DR",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589757",
            "telephone_number": "973-908-3368",
            "fax_number": "201-353-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "BRIZA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA09325400",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09325400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Sudol, DDS
• Sweet Angels Home Care
• Reema Tajdar
• Cynthia Thomas, MS CCC-SLP
• Rebecca Thomas, SLP
• Rolando Watley, LPC
• Wayfare Counseling, LLC
• Toni Lynn Weeks, LPC
• Christopher Wilkes
• Weihao Xie

• Obstetrics & Gynecology Physician in Pine Brook, NJ
• Providers in Pine Brook, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.