1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pediatrics
  6. NPI Profile

ELIZABETH WALLACH M.D.
NPI 1043274939
Pediatrics - Pediatric Endocrinology in New York, NY

Active since April 17, 2006PECOS Enrolled
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029(212) 241-9464 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elizabeth Wallach M.d. NPPES

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

ELIZABETH WALLACH M.D. (NPI 1043274939) is an individual pediatric endocrinology provider in New York, New York, licensed in New York (177183) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043274939
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameELIZABETH WALLACHCredential: M.D.
Location Address1 GUSTAVE L LEVY PL, BOX 1200New York, NY 10029-6500
Mailing Address1 Gustave L Levy Pl, Box 1200New York, NY 10029-6500 · (212) 241-9464
Phone(212) 241-9464
Sole ProprietorYes
Enumeration DateApril 17, 2006
Last NPPES UpdateMarch 26, 2013
✔ NPI 1043274939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in NY · 177183
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 177183 (NY)
1 GUSTAVE L LEVY PL, New York, NY 10029
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Wallach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Icahn School Of Medicine At Mount Sinai
Same address
Otolaryngology
5 E 98TH ST, BOX 1191
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
NPI 1538407176 (212) 241-9410

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Elizabeth Wallach's NPI number?

The NPI number for Elizabeth Wallach is 1043274939. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Elizabeth Wallach located?

Elizabeth Wallach practices at 1 Gustave L Levy Pl Box 1200, New York, NY 10029. The listed phone number is (212) 241-9464.

What is Elizabeth Wallach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Elizabeth Wallach enrolled in Medicare?

Yes. Elizabeth Wallach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Wallach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wallach reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Wallach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Wallach was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.