DR. SERENA MARIE FERNANDEZ-WALLACE D.C.
NPI 1578687208
Chiropractor in Huntington, NY

Active since March 19, 2007
199 OAKWOOD RD, HUNTINGTON, NY 11743(631) 425-0500(631) 425-3399 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Serena Marie Fernandez-wallace D.c. NPPES

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

DR. SERENA MARIE FERNANDEZ-WALLACE D.C. (NPI 1578687208) is an individual chiropractor in Huntington, New York, licensed in New York (X009610-1) and active in the NPI registry since March 2007. She is a graduate of New York Chiropractic College (1999).

NPPES Registry Identity

NPI1578687208
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SERENA MARIE FERNANDEZ-WALLACECredential: D.C.
Location Address199 OAKWOOD RDHuntington, NY 11743-4213
Mailing Address199 Oakwood RdHuntington, NY 11743-4213 · (631) 425-0500 · Fax (631) 425-3399
Fax(631) 425-3399
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 1999
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578687208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X009610-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
199 OAKWOOD RD, Huntington, NY 11743

Other Names 1

Former Name (1)Dr. Serena Marie Fernandez D.c.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Serena Marie Fernandez-wallace D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062651359
PECOS Enrollment IDI20130618000168

Medicare Billing Reassignments

2

Medicare enrollment records show Serena Fernandez-wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
50 THROCKMORTON LN
Old Bridge, NJ 08857
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Palluzzi Chiropractic PA
  • 2 clinicians in this Medicare group
Chiropractor
7 CENTRE DR, SUITE 10
Monroe, NJ 08831
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,153 services60 patients

Other Providers at the Same Location NPPES

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

Chiropractor
199 OAKWOOD RD
HUNTINGTON, NY 11743

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 Serena Fernandez-wallace's NPI number?

The NPI number for Serena Fernandez-wallace is 1578687208. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Dr. Serena Marie Fernandez D.C..

Where is Serena Fernandez-wallace located?

Serena Fernandez-wallace practices at 199 Oakwood Rd, Huntington, NY 11743. The listed phone number is (631) 425-0500.

What is Serena Fernandez-wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Serena Fernandez-wallace enrolled in Medicare?

Yes. Serena Fernandez-wallace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Serena Fernandez-wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena Fernandez-wallace reassigns Medicare benefits to 2 organizations: Palluzzi Chiropractic, P.A. (Old Bridge, NJ) and Monroe Wellness Center, LLC (Monroe, NJ). Each 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 Serena Fernandez-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 Serena Fernandez-wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.