Active NPI
Asya Izraelit Wallach, M.D.
- Neurology Physician
- Teaneck, NJ
National Provider Identifier
1285051128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA10510100
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-0766 - Phone
- (012) 837-0727
- Fax
- (201) 837-8504
- NPI assigned
- Mar 27, 2014
- Last updated
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA10510100 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-0766
Mailing address
550 1St Ave
NYU
New York, NY 10016-6402
Other practice location 1
550 1st Ave
NYU
New York, NY 10016-6402
Phone (513) 279-2362
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awallach@holyname.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- New York University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 837-0727
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10510100 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Comprehensive Care Center | Current | Accepting new patients |
Locations
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Interoperability endpoints
- asyawallach@hnpn.ssdirect.aprima.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Teaneck, NJ
- NPI 1740328608
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1285051128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"address_2": "NYU",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076660766",
"telephone_number": "012-837-0727",
"fax_number": "201-837-8504"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_2": "NYU",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "513-279-2362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLACH",
"first_name": "ASYA",
"middle_name": "IZRAELIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA10510100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awallach@holyname.org",
"affiliation": "N",
"endpointDescription": "Dr. Wallach work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Teaneck",
"address_1": "718 Teaneck Rd",
"city": "Teaneck",
"state": "NJ",
"country_code": "US",
"postal_code": "076660766",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.