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DR. JACOB WALLACH D.D.S.
NPI 1114183837
Dentist in Nyack, NY

Active since August 01, 2008PECOS Enrolled
99 N BROADWAY, NYACK, NY 10960(845) 358-1728 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Wallach D.d.s. NPPES

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

DR. JACOB WALLACH D.D.S. (NPI 1114183837) is an individual dentist in Nyack, New York, licensed in New York (50 053926) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114183837
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB WALLACHCredential: D.D.S.
Location Address99 N BROADWAYNyack, NY 10960-2627
Mailing Address99 N BroadwayNyack, NY 10960-2627 · (845) 358-1728
Phone(845) 358-1728
Sole ProprietorNo
Enumeration DateAugust 1, 2008
Last NPPES UpdateAugust 4, 2011
✔ NPI 1114183837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 50 053926
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
99 N BROADWAY, Nyack, NY 10960
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Wallach D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10960 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacob Wallach's NPI number?

The NPI number for Jacob Wallach is 1114183837. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Jacob Wallach located?

Jacob Wallach practices at 99 N Broadway, Nyack, NY 10960. The listed phone number is (845) 358-1728.

What is Jacob Wallach's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacob Wallach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Wallach was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.