Wallace Harry Wells Jr., M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

160840 Issued in NY

Practice address

303 W 19TH St
Suite 51
New York, NY 10011-3939

Phone

(212) 813-3146

Fax

(212) 813-3146

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457376527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 19TH ST",
            "address_2": "SUITE 51",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113939",
            "telephone_number": "212-813-3146",
            "fax_number": "212-813-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 19TH ST",
            "address_2": "SUITE 51",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113939",
            "telephone_number": "212-813-3146",
            "fax_number": "212-813-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "WALLACE",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "160840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Wells, MD
• Scott Brian Wells, MD
• Solomon Wells, LMHC, LPC, CASAC
• Valerie Jayne Wells, M.D.
• Vanessa Deborah Wells, LCSW
• Wesley Carlyle Wells, RDH
• William Wells
• Sarah Wellsfry
• Wellsprings Social Work Services
• Wellstate Chiropractic, P.C.

• Cardiovascular Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.