Nadav Wallach, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

339374 Issued in NY

Practice address

535 W 110TH St Apt 1E
New York, NY 10025-2021

Phone

(212) 280-4740

Fax

(212) 280-4743

NPI assigned

Apr 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westside Family Medicine PLLCGroup PAC ID 1456879451, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Westside Family Medicine PLLC.

  • Family Medicine Physician
  • New York, NY
  • NPI 1467539874

  NJ

  Medicare reassignment Care Compare group NPD
• American Chiropractic Enterprise PLLC

  dba kb chiropractic

  • Chiropractor
  • Hudson, NY
  • NPI 1942495486
  NPD (past)
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1487233375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252021",
            "telephone_number": "212-280-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252021",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACH",
        "first_name": "NADAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA12759000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "339374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Wallach
• Jeffrey D Wallach, M.D.
• Jennifer Wallach, PHD
• Judith D Wallach, PHD
• Mary Wallach, MSW, LCSW
• Robert Wallach, MD
• Sharry Wallach, O.T.
• Steven Gregg Wallach, MD
• Thomas Wallach, MD
• Alison D Wallack, M.S.

• 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 Sep 3, 2025; 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.

Verify at the official NPI Registry.