EMMA WALLACE MD/PHD
NPI 1558893503
Psychiatry & Neurology - Vascular Neurology in Bronx, NY

Q: What is Emma Wallace's NPI number?

The NPI number for Emma Wallace is 1558893503. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Emma Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Emma Wallace was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment

111 E 210TH ST, BRONX, NY 10467(718) 430-3166 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Mar 29, 2017 (2 updates tracked since 2017).

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About Emma Wallace Md/phd NPPES

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

EMMA WALLACE MD/PHD (NPI 1558893503) is an individual vascular neurology provider in Bronx, New York, licensed in New York (312463) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1558893503

Entity TypeIndividualFemale

Primary Taxonomy2084V0102X

Provider Legal NameEMMA WALLACECredential: MD/PHD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address43 Westminster AveBergenfield, NJ 07621-3913 · (201) 387-1957 · Fax (201) 351-0656

Phone(718) 430-3166

Sole ProprietorYes

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2017

Enumeration DateMarch 29, 2017

Last NPPES UpdateApril 11, 20222 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1558893503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in NY · 312463

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 312463 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Location 1

Location 1211 61st St Apt 1Brooklyn, NY 11220-3782 · Phone (718) 630-1270 · Fax (201) 351-0656

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emma Wallace Md/phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315326873

PECOS Enrollment IDI20220614001713, I20221017000977

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

57 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310074

Location355 Grand StreetJersey City, NJ 07302 · Hudson County

Emergency services Birthing friendly

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310096

Location111 Central AvenueNewark, NJ 07102 · Essex County

Emergency services

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330028

Location355 Bard AvenueStaten Island, NY 10310 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)