NPIMap

Individual provider Active NPI

Walter Alan Wynkoop, M.D.

  • Pulmonary Disease Physician
  • Toms River, NJ
National Provider Identifier
1992774657
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA07510000 Issued in 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
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA07510000 NJ
Pulmonary Disease Physician 207RP1001X 25MA07510000 NJ Primary
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 2

IdentifierTypeStateIssuer
P00050076OtherNJRAILROAD MEDICARE
0009199MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000883 NJ Practitioner - Pulmonary Disease 4587609656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 1153366216, 8 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07510000NJMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Pulmonary Associates, P.a. Pulmonary Disease CurrentSince Jul 1, 2003 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) 279-3676

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70885
  • Direct secure messaging: walter.wynkoop@oceanpulmonary.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hackensack University Medical Center - Psychiatric UnitHackensack, NJ, CCN 31S001 Hospital Corporate Director Jan 1, 2018
Hackensack University Medical CenterHackensack, NJ, CCN 310001 Hospital Corporate Director Jan 1, 2018
Riverview Medical CenterRed Bank, NJ, CCN 310034 Hospital Corporate Director Jan 1, 2023
Bayshore Medical CenterHolmdel, NJ, CCN 310112 Hospital Corporate Director Jan 1, 2023
Ocean University Medical CenterBrick, NJ, CCN 310052 Hospital Corporate Director Jan 1, 2018
Jersey Shore University Medical CenterNeptune, NJ, CCN 310073 Hospital Corporate Director Jan 1, 2018
Southern Ocean Medical CenterManahawkin, NJ, CCN 310113 Hospital Corporate Director Jan 1, 2018
Palisades Medical CenterNorth Bergen, NJ, CCN 310003 Hospital Corporate Director Jan 1, 2018
Raritan Bay Medical CenterPerth Amboy, NJ, CCN 310039 Hospital Corporate Director Jan 1, 2018
Johnson Rehabilitation Institute at Riverview Medical CenterRed Bank, NJ, CCN 31T034 Hospital Corporate Director Jan 1, 2018
Jersey Shore University Medical CenterNeptune, NJ, CCN 31S073 Hospital Corporate Director Jan 1, 2023
Johnson Rehabilitation Institute at Ocean Medical CenterBrick, NJ, CCN 31T052 Hospital Corporate Director Jan 1, 2018
JFK University Medical CenterEdison, NJ, CCN 310108 Hospital Corporate Director Jul 1, 2021
JFK Johnson Rehabilitation InstituteEdison, NJ, CCN 31T108 Hospital Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1992774657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573756",
            "telephone_number": "732-341-1380",
            "fax_number": "732-505-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573756",
            "telephone_number": "732-341-1380",
            "fax_number": "732-505-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNKOOP",
        "first_name": "WALTER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA07510000",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07510000",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA07510000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00050076",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009199",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.