DR. JACOB WALLACH DPM NPI 1154437358

NPI Information

  • NPI: 1154437358
  • Provider Name: DR. JACOB WALLACH, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2424 KINGS HWY
    STE 1G
    BROOKLYN, NY
    ZIP 11229
  • Phone: (718) 258-9572

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NPI Details

DR. Jacob Wallach, DPM is a primary podiatric medicine podiatrist in Brooklyn, NY with 27 years of experience. DR. Jacob Wallach, DPM NPI is 1154437358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1998

The provider's business location address is:

2424 KINGS HWY
STE 1G
BROOKLYN, NY
ZIP 11229-641
Phone: (718) 258-9572
Fax: (718) 258-7216

The NPI 1154437358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric MedicineN005523NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102059272MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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