Walter Alan Wynkoop, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Toms River, NJ
NPI 1992774657 · NPPES record last updated Dec 22, 2014
Key facts
- NPI
- 1992774657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 25MA07510000 (NJ)
- Practice address
- 3 Plaza Dr
Suite 2
Toms River, NJ 08757-3756 - Phone
- (732) 341-1380
- Fax
- (732) 505-9296
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 23
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Temple University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ocean Pulmonary Associates, P.a.
Practice addresses (Care Compare)
20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 341-1380
27 S Cooks Bridge Rd
Suite 2 10
Jackson, NJ 08527-2463
Phone (732) 987-5870
730 Lacey Rd
Suite G 09
Forked River, NJ 08731-1300
Phone (609) 242-6801
Hospital & facility affiliations
- Ocean Medical Center
- Community Medical Center
- JFK University Medical Center
- Southern Ocean Medical Center
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Hackensack University Medical Center - Psychiatric Unit |
Hospital | Corporate Director | Jan 1, 2018 |
| Hackensack University Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Riverview Medical Center |
Hospital | Corporate Director | Jan 1, 2023 |
| Bayshore Medical Center |
Hospital | Corporate Director | Jan 1, 2023 |
| Ocean University Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Jersey Shore University Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Southern Ocean Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Palisades Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Raritan Bay Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Johnson Rehabilitation Institute at Riverview Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| Jersey Shore University Medical Center |
Hospital | Corporate Director | Jan 1, 2023 |
| Johnson Rehabilitation Institute at Ocean Medical Center |
Hospital | Corporate Director | Jan 1, 2018 |
| JFK University Medical Center |
Hospital | Corporate Director | Jul 1, 2021 |
| JFK Johnson Rehabilitation Institute |
Hospital | Corporate Director | Jul 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110308000883 | NJ | Practitioner - Pulmonary Disease | 4587609656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07510000 | NJ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Pulmonary Associates, P.a. | Pulmonary Disease | Current |
Accepting new patients |
| Aria Health Physician Services | Past | Accepting new patients |
Locations
459 Jack Martin Blvd
Ste 5
Brick, NJ 08724
Phone (732) 840-4200
27 S Cooks Bridge Rd
Ste 2-10
Jackson, NJ 08527
Phone (732) 341-1380
20 Hospital Dr
Ste 9
Toms River, NJ 08755
Phone (732) 341-1380
3 Plaza Dr
Ste 2
Toms River, NJ 08757
Phone (732) 341-1380
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
Interoperability endpoints
- walter.wynkoop@oceanpulmonary.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA07510000 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA07510000 | NJ | Yes |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 25MA07510000 | NJ |
Addresses
Primary practice location
3 Plaza Dr
Suite 2
Toms River, NJ 08757-3756
Mailing address
3 Plaza Dr
Suite 2
Toms River, NJ 08757-3756
Phone (732) 341-1380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009199 | Medicaid | NJ | |
| P00050076 | Other | NJ | RAILROAD MEDICARE |
Other providers in Toms River, NJ
- Steven Nelson Wrigley
- CHI Mei Wu
- Michelle Wullen
- Dena M Wurch
- Christopher Michael Wyckoff
- Xra, P.a.
- Kristin Yakovchuk
- Rayson C Yang
- Lucille Yanok
- Yarden Health
All providers in Toms River, NJ · Pulmonary Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.