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DR. JONATHAN BRETT WALLACH MD
NPI 1851640700
Radiology - Radiation Oncology in New Brunswick, NJ

Active since September 06, 2012PECOS Enrolled
254 EASTON AVE, NEW BRUNSWICK, NJ 08901(732) 745-8590 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jonathan Brett Wallach Md NPPES

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

DR. JONATHAN BRETT WALLACH MD (NPI 1851640700) is an individual radiation oncology provider in New Brunswick, New Jersey, licensed in New York (273533-1) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851640700
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. JONATHAN BRETT WALLACHCredential: MD
Location Address254 EASTON AVENew Brunswick, NJ 08901-1766
Mailing Address254 Easton AveNew Brunswick, NJ 08901-1766 · (732) 745-8590 · Fax (732) 483-4824
Phone(732) 745-8590
Sole ProprietorNo
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1851640700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NY · 273533-1
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
254 EASTON AVE, New Brunswick, NJ 08901
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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)

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

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 08901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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. AMIE KAWASHIMA D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 339-7566
CRAIG M AUMACK RPH, PHARMD
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JENNIFER WALDMANN M.D
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 996-6741
MRS. MICHELE BRUNO HORNER MS, CGC
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-6659
ERNESTO BRETON MD
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. I. MARK HIATT MD
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JANTI CHAABAN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
SHERENE TANASHA DUNKLEY APN-C
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 Jonathan Wallach's NPI number?

The NPI number for Jonathan Wallach is 1851640700. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Jonathan Wallach located?

Jonathan Wallach practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-8590.

What is Jonathan Wallach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Jonathan Wallach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Wallach was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.