WALSON MEDICAL SUPPORT ELEMENT
NPI 1154474419
Clinic/Center - Military Outpatient Operational (Transportable) Component in Ft. Dix, NJ

Active since January 19, 2007
5631 BALTIMORE AVE, FT. DIX, NJ 08640(609) 562-5419 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walson Medical Support Element NPPES

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

WALSON MEDICAL SUPPORT ELEMENT (NPI 1154474419) is a healthcare organization registered as a military outpatient operational (transportable) component in Ft. Dix, New Jersey and active in the NPI registry since January 2007. The organization lists Albert Martins, Dccs, as its authorized official.

NPPES Registry Identity

NPI1154474419
Entity TypeOrganization
Primary Taxonomy261QM1102X
Legal Business NameWALSON MEDICAL SUPPORT ELEMENT
Location Address5631 BALTIMORE AVEFt. Dix, NJ 08640-0000
Mailing Address1562 Marine PkwyBrooklyn, NY 11234-3414 · (347) 733-9938
Organization SubpartNo
Authorized OfficialAlbert MartinsDccs · (609) 562-5419
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1154474419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military Outpatient Operational (Transportable) ComponentAmbulatory Health Care Facilities
Taxonomy Code261QM1102X
License Licensed in NM · F333963-1
Definition
Non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
5631 BALTIMORE AVE, Ft. Dix, NJ 08640

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 Walson Medical Support Element's NPI number?

The NPI number for Walson Medical Support Element is 1154474419. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Walson Medical Support Element located?

Walson Medical Support Element is located at 5631 Baltimore Ave, Ft. Dix, NJ 08640. The listed phone number is (609) 562-5419.

What is Walson Medical Support Element's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military Outpatient Operational (Transportable) Component, with taxonomy code 261QM1102X.

When was this NPI record last updated?

The NPPES record for Walson Medical Support Element was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.