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NADAV WALLACH MD
NPI 1487233375
Family Medicine in New York, NY

Active since April 07, 2021PECOS Enrolled
535 W 110TH ST APT 1E, NEW YORK, NY 10025(212) 280-4740(212) 280-4743 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Apr 7, 2021 (2 updates tracked since 2021).

About Nadav Wallach Md NPPES

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

NADAV WALLACH MD (NPI 1487233375) is an individual family medicine provider in New York, New York, licensed in New York (339374) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487233375
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNADAV WALLACHCredential: MD
Location Address535 W 110TH ST APT 1ENew York, NY 10025-2021
Mailing Address535 W 110th St Apt 1eNew York, NY 10025-2021 · (212) 280-4740
Phone(212) 280-4740
Fax(212) 280-4743
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1487233375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 339374✔ Licensed in NJ · 25MA12759000
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
535 W 110TH ST APT 1E, New York, NY 10025
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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)

Nadav Wallach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446651202
PECOS Enrollment IDI20250919004478
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 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

SUHASINI NEELAM SATISH PA-C
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
RUMEN SLAVKOV M.D.
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
GEM-ESTELLE M LUCAS D.O.
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
ANNE ELIZABETH CAMPION NP
Nurse Practitioner (Adult Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
REBECA WINE PA
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
TALIA MARCUS PA
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
MS. WHITNEY JAMIL HOYT FNP
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
RHONDA ASHLEY REID MD
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740

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 Nadav Wallach's NPI number?

The NPI number for Nadav Wallach is 1487233375. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Nadav Wallach located?

Nadav Wallach practices at 535 W 110th St Apt 1E, New York, NY 10025. The listed phone number is (212) 280-4740.

What is Nadav Wallach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nadav Wallach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nadav Wallach was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.