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DAVID M WALLACE M.D.
NPI 1336116656
Obstetrics & Gynecology - Maternal & Fetal Medicine in Long Branch, NJ

Active since March 06, 2006PECOS Enrolled
73 S BATH AVE, LONG BRANCH, NJ 07740(732) 870-3600(732) 870-0119 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David M Wallace M.d. NPPES

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

DAVID M WALLACE M.D. (NPI 1336116656) is an individual maternal & fetal medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA04221200) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336116656
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDAVID M WALLACECredential: M.D.
Location Address73 S BATH AVELong Branch, NJ 07740-5725
Mailing AddressPo Box 8000, Dept 596Buffalo, NY 14267-0002 · (866) 295-0041 · Fax (708) 342-2517
Phone(732) 870-3600
Fax(732) 870-0119
Sole ProprietorNo
Enumeration DateMarch 6, 2006
Last NPPES UpdateOctober 14, 2011
✔ NPI 1336116656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA04221200
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
73 S BATH AVE, Long Branch, NJ 07740
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN017759NJ
Medicare UPINC28837NJ
Medicaid2462907NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David M Wallace 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 David Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barnabas Health Medical Group, PC
37 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

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 07740 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 3

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

NISHA MALIK M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
CARL NATH MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
DAVID GONZALEZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600

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 David Wallace's NPI number?

The NPI number for David Wallace is 1336116656. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is David Wallace located?

David Wallace practices at 73 S Bath Ave, Long Branch, NJ 07740. The listed phone number is (732) 870-3600.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is David Wallace enrolled in Medicare?

Yes. David Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wallace reassigns Medicare benefits to Barnabas Health Medical Group, PC (West Orange, NJ). 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 David Wallace'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 David Wallace was last updated on October 14, 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.