DR. JACOB WALLACH (NPI# 1154437358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154437358 |
| Entity Type | Individual |
| Full Name | DR. JACOB WALLACH |
| Credential | DPM |
| Practice Address |
2424 Kings Hwy Brooklyn NY 11229-1669 |
| Mailing Address |
51 White Dr Cedarhurst NY 11516-2630 |
| Practice Telephone | 7182589572 |
| Practice Fax Number | 7182587216 |
| Mailing Telephone | 7182589572 |
| Mailing Fax Number | 7182587216 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N005523 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02059272 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114183837 | Jacob Wallach | Dentist | 99 N Broadway, Nyack, NY 10960-2627 | 2008-08-01 |
| Street Address |
2424 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679664171 | Zoya Vernikova | Internal Medicine | 2424 Kings Hwy, Brooklyn, NY 11229-1669 | 2006-09-27 |
| 1134210636 | Eduard Milman | Psychiatry & Neurology | 2424 Kings Hwy, Brooklyn, NY 11229-1669 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286532 | Power Podiatry PC | Podiatrist | 1900 Avenue W Apt 3j, Brooklyn, NY 11229-4738 | 2019-10-09 |
| 1588220412 | Anbinder Podiatrist P.C. | Podiatrist | 2930 W 5th St Apt 12c, Brooklyn, NY 11224-3950 | 2019-05-16 |
| 1477067452 | Akselrud Podiatry Care PC | Podiatrist | 2671 E 64th St Fl 2, Brooklyn, NY 11234-6815 | 2017-11-28 |
| 1093132953 | Andrea Schulman | Podiatrist | 2040 Ryder St, Brooklyn, NY 11234-5024 | 2014-03-27 |
| 1215271226 | Brighton Podiatry PC | Podiatrist | 172 Brighton 11th St, Brooklyn, NY 11235-5327 | 2012-11-15 |
| 1669737037 | Almutasemb M Shehada | Podiatrist | 469 85th St, Brooklyn, NY 11209-4705 | 2012-07-11 |
| 1285968032 | Roselind Shirley Schwartz | Podiatrist | 557 Atlantic Ave, 8a-s, Brooklyn, NY 11217-4926 | 2009-09-28 |
| 1841468725 | Barry Owen Fagin | Podiatrist | 1205 8th Ave, Brooklyn, NY 11215-5139 | 2008-02-13 |
| 1811175102 | Mark L Schwartz | Podiatrist | 247 Bay 22 Street, Brooklyn, NY 11214-6105 | 2008-02-08 |
| 1295912699 | Vincent D. Pacella | Podiatrist | 372 83rd St, Brooklyn, NY 11209-4405 | 2008-01-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.