DR. WALTERS AJI TEBUNG MD
NPI 1104672195
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 29, 2024
525 E 68TH ST # 301, NEW YORK, NY 10065(212) 746-0892 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Walters Aji Tebung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTERS AJI TEBUNG MD (NPI 1104672195) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1104672195
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WALTERS AJI TEBUNGCredential: MD
Location Address525 E 68TH ST # 301New York, NY 10065-4870
Mailing Address525 E 68th St # 301New York, NY 10065-4870
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1104672195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
525 E 68TH ST # 301, New York, NY 10065

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
525 E 68TH ST # 301
NEW YORK, NY 10065
Emergency Medicine
525 E 68TH ST # 301
NEW YORK, NY 10065
Emergency Medicine
525 E 68TH ST # 301, NEW YORK PRESBYTERIAN EMERGENCY DEPARTMENT RESIDENCY
NEW YORK, NY 10065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walters Tebung's NPI number?

The NPI number for Walters Tebung is 1104672195. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Walters Tebung located?

Walters Tebung practices at 525 E 68th St # 301, New York, NY 10065. The listed phone number is (212) 746-0892.

What is Walters Tebung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Walters Tebung was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.