Alexander Walsh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348595 Issued in NY

Practice address

88 Jansen Rd
Pine Bush, NY 12566-5609

Phone

(845) 551-7258

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1942915145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JANSEN RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665609",
            "telephone_number": "845-551-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JANSEN RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665609",
            "telephone_number": "845-551-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Vendura, PNP
• Thomas Michael Verbovsky, DMD
• Vincent Vigilante, MEDICAL DOCTOR
• Walgreen Co
• Arthur Walker
• Catherine Miriam Wanko-Newman, PSY.D.
• Riaz A Wattoo, PH
• Tamica Wildina Wayland, LPN
• Allison Webster
• Melina Wilson, MS-CCC-SLP

• Family Nurse Practitioner in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.