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GEORGE F. WALLACE D.P.M.
NPI 1811001696
Podiatrist - Foot & Ankle Surgery in Newark, NJ

Active since August 18, 2006
90 BERGEN ST, DOC 4500, NEWARK, NJ 07103(973) 972-2500(973) 972-2510 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About George F. Wallace D.p.m. NPPES

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

GEORGE F. WALLACE D.P.M. (NPI 1811001696) is an individual foot & ankle surgery provider in Newark, New Jersey, licensed in New Jersey (25MD00137200) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1811001696
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameGEORGE F. WALLACECredential: D.P.M.
Location Address90 BERGEN ST, DOC 4500Newark, NJ 07103-2425
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-2500
Fax(973) 972-2510
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 26, 2009
✔ NPI 1811001696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00137200
90 BERGEN ST, Newark, NJ 07103
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Other Identifiers 3

Medicare UPINT45622NJ
Medicaid1567101NJ
Medicare PIN505579NJ

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.

MS. YU-CHI JEN
General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Essex County (973) 972-2800
UNIVERSITY SURGICAL ASSOCIATES (OM)
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2400
MARC H. LAVIETES M.D.
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Essex County (973) 972-2500
JOSEPH V SCHWAB MD
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Essex County (973) 972-2100
DR. VISHNU CHOUDHARY POTINI MD
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Essex County (973) 972-2150
DR. AREVIK ABRAMYAN MD, PHD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2323
HANNAAN SHAFIQ CHOUDHRY
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2548
PATRICK MAHONY FOYE M.D.
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Essex County (973) 972-2802

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 George Wallace's NPI number?

The NPI number for George Wallace is 1811001696. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is George Wallace located?

George Wallace practices at 90 Bergen St Doc 4500, Newark, NJ 07103. The listed phone number is (973) 972-2500.

What is George Wallace's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for George Wallace was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.