WILLIAM R WALLACE D.C.
NPI 1013087121
Chiropractor in Bernardsville, NJ

Q: What is William Wallace's NPI number?

The NPI number for William Wallace is 1013087121. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is William Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for William Wallace 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.

Active since November 08, 2006

139 MORRISTOWN RD, BERNARDSVILLE, NJ 07924(908) 221-0808(908) 221-9024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About William R Wallace D.c. NPPES

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

WILLIAM R WALLACE D.C. (NPI 1013087121) is an individual chiropractor in Bernardsville, New Jersey, licensed in New Jersey (1922) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1013087121

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameWILLIAM R WALLACECredential: D.C.

Location Address139 MORRISTOWN RDBernardsville, NJ 07924-2606

Mailing Address139 Morristown RdBernardsville, NJ 07924-2606 · (908) 221-0808 · Fax (908) 221-9024

Phone(908) 221-0808

Fax(908) 221-9024

Sole ProprietorYes

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013087121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NJ · 1922

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

139 MORRISTOWN RD, Bernardsville, NJ 07924

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Other Identifiers 1

Medicare ID-Type Unspecified122148NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William R Wallace D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show William Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somerset Hills Chiropractic LLC

Same address

Chiropractor

139 MORRISTOWN RD
Bernardsville, NJ 07924

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1811296353 (908) 221-0808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

MRS. COURTNEY ELIZABETH RESCINITI CRNP

Nurse Practitioner (Pediatrics)