WILLIAM VANDERWALL P.A.-C
NPI 1205123783
Physician Assistant - Surgical in Brooklyn, NY
About William Vanderwall P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM VANDERWALL P.A.-C (NPI 1205123783) is an individual surgical provider in Brooklyn, New York, licensed in New York (014744) and active in the NPI registry since July 2011. 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)
William Vanderwall P.a.-c 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.
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 William Vanderwall's NPI number?
The NPI number for William Vanderwall is 1205123783. It was assigned to this individual provider in the NPPES registry on July 5, 2011.
Where is William Vanderwall located?
William Vanderwall practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8000.
What is William Vanderwall's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is William Vanderwall enrolled in Medicare?
Yes. William Vanderwall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for William Vanderwall was last updated on July 5, 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.
# William Vanderwall, P.A.-C · NPI 1205123783
Surgical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since July 5, 2011.
## Identity
- **NPI:** 1205123783 (Entity type: Individual)
- **Enumerated:** July 5, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 014744 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 DEKALB AVE, Brooklyn, NY 11201-5425
- **Phone:** (718) 250-8000
## 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 5, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1205123783) · Data from the CMS NPPES public registry.