Stephanie Wallman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

288963 Issued in NY

Practice address

535 5TH Ave RM 603
New York, NY 10017-8009

Phone

(646) 200-5750

NPI assigned

Jan 23, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strive Medical Wellness PC

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1598646630
  NPD Authorized official
• Avenue Medical Wellness PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1871252890
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1134519580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE RM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178009",
            "telephone_number": "646-200-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE RM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178009",
            "telephone_number": "646-200-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Lawrence Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873605",
            "country_code": "US",
            "telephone_number": "631-265-1763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 E 63rd St Apt 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657265",
            "country_code": "US",
            "telephone_number": "646-200-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLMAN",
        "first_name": "STEPHANIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "288963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Wallinger, L.P.T.A.
• Ariel Wallins, LCSW
• Darren Marc Wallis, O.D.
• Geraldine Urbach Wallman, DSW
• Jason H Wallman, DPT, LAC.
• Susan Wallmeyer, L.AC.
• Katherine Wallner, DPT
• Isabel Walls, PA-C
• Raymond John Walls, M.D.
• Robert Walls, LMSW

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.