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Deactivated NPI 1669628079 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Richard Walters , MD

Pediatrics • Millburn, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Walters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2008
NPI Deactivation Date December 04, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Walters, MD was a registered Pediatrics practicing in Millburn, NJ. Throughout an active medical career spanning 17 years, Dr. Walters provided care at the practice location at 130 GREENWOOD DR until profile deactivation on 2025-12-04.

Practice Location & Contact Primary Location

Practice Address

130 Greenwood Dr

Millburn, NJ 070411447

Telephone 9733799618

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Millburn, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Millburn, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA02664200

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2025

Record deactivated on December 04, 2025

NPI Profile Active August 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2008

Registered at 130 GREENWOOD DR, MILLBURN, NJ 070411447 (Tel: 9733799618)

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Updated Business Mailing Address August 18, 2008

Registered at 130 GREENWOOD DR, MILLBURN, NJ 070411447 (Tel: 9733799618)

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Provider Name / Credentials Updated August 18, 2008

Recorded as THOMAS WALTERS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2008

Pediatrics (License #25MA02664200 in NJ)

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Initial NPI Registration & Enumeration August 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669628079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2008
Last Update: August 18, 2008
Deactivation Date: December 04, 2025

Mailing Address

130 Greenwood Dr

Millburn, NJ 070411447

Phone: 9733799618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.