JAMES RICHARD WALLACE M.D.
NPI 1699096594
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is James Wallace's NPI number?

The NPI number for James Wallace is 1699096594. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Q: What is James Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for James Wallace was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 15, 2010

4802 10TH AVENUE, BROOKLYN, NY 11209(718) 283-8397(718) 283-8498 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About James Richard Wallace M.d. NPPES

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

JAMES RICHARD WALLACE M.D. (NPI 1699096594) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1699096594

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAMES RICHARD WALLACECredential: M.D.

Location Address4802 10TH AVENUEBrooklyn, NY 11209

Mailing Address4802 10th AvenueBrooklyn, NY 11209 · (718) 283-8397 · Fax (718) 283-8498

Phone(718) 283-8397

Fax(718) 283-8498

Sole ProprietorNo

Enumeration DateJune 15, 2010

✔ NPI 1699096594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4802 10TH AVENUE, Brooklyn, NY 11209

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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 James Wallace's NPI number?

The NPI number for James Wallace is 1699096594. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is James Wallace located?

James Wallace practices at 4802 10th Avenue, Brooklyn, NY 11209. The listed phone number is (718) 283-8397.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for James Wallace was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.