WALTER WILLIAM BRATCHENKO PA
NPI 1659581031
Physician Assistant - Surgical in Newark, NJ
About Walter William Bratchenko Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER WILLIAM BRATCHENKO PA (NPI 1659581031) is an individual surgical provider in Newark, New Jersey, licensed in New Jersey (25MP00060300) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walter William Bratchenko Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
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 Walter Bratchenko's NPI number?
The NPI number for Walter Bratchenko is 1659581031. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Walter Bratchenko located?
Walter Bratchenko practices at 90 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-0763.
What is Walter Bratchenko's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Walter Bratchenko enrolled in Medicare?
Yes. Walter Bratchenko is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Walter Bratchenko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Walter William Bratchenko, PA · NPI 1659581031
Surgical physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1659581031 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00060300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 BERGEN ST, Newark, NJ 07103-2425
- **Phone:** (973) 972-0763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1659581031) · Data from the CMS NPPES public registry.